Appeals & Litigation Support Specialist, Insurance

The Appeals & Litigation Support Specialist will provide comprehensive assistance to the Group Claims Disability Appeals, Litigation and Complaints team. This role requires outstanding skills in organization, problem solving and communication. This individual should be highly motivated, reliable, detail oriented and able to handle several tasks with varying levels of supervision.

You will

• Monitor and triage appeals queues and assign work within established guidelines.
• Prepare administrative records for Legal Team and respond timely to intake communications on new litigation matters.
• Capture, respond to and detail ongoing requests for information on pending litigation matters.
• Prepare files in response to subpoenas and authorizations within required timeframe(s).
• Coordinate and prepare files in response to claim file requests, subject to ERISA/Department of Labor guidelines.
• Prepare requested files in response to market conduct exams and group regulatory inquiries.
• Gather medical records for external clinical and vocational reviews.
• Complete other claim support tasks for the Appeals Team.

You have

• 3 years preferred experience in Group Disability and/or Life claims industry.
• Strong verbal and written communication skills.
• Proficiency in MS Word, Excel and PowerPoint.

Location and Travel
This is a flexible position requiring 2 days per week in our Guardian Bethlehem, Pennsylvania office.

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals.  Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues.

• Choice of [high deductible/copay] medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits

• Dental plan

• Vision plan

• Health care accounts – flexible spending, health reimbursement, and health savings accounts

• Critical illness insurance

• Company-paid Life and Disability insurance plus voluntary supplemental coverage

• Accident insurance

• 401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable

• Complimentary 1:1 financial guidance with a licensed Fidelity representative

• Flexible work arrangements (part in-person/part remote)

• Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement

• Personal holidays for colleagues to use in recognition of religious, cultural, or civic days

• Paid parental leave and paid family and medical leave policies

• Emotional well-being, mental health, and work/life resources powered by Spring Health

• Wellness programs, including fitness program and equipment reimbursement

• Child, adult, and elder back-up care support through Bright Horizons

• Adoption assistance

• College planning

• Tuition reimbursement

• Student loan assistance

• Commuter benefits in select metropolitan areas

Opportunities to build inclusive and meaningful connections through involvement in colleague-led affinity groups:

• Employee Resource Groups:

• Colleague Connection Committees

• Community Involvement Committees

A culture that encourages colleagues to bring their authentic selves to work

• Voluntary self-ID

• Pronunciation and phonetic spelling of names

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com.

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.