Remote Live In Jobs in Hawaii (NOW HIRING)

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This role requires a Hybrid work arrangement with in office requirement at The Hartford's Hawaii office location.

The Employee Benefits - Ability Specialist for the Hawaii team supports Paid Family and Medical Leave, Short Term Disability and Leave of Absence.This role requires strong analytical expertise, strategic thinking, and communication skills to accurately adjudicate claims. As Ability Specialist for the Hawaii team, you will play a critical role in supporting individuals during some of the most challenging times in their lives. You will be responsible for managing a caseload of Hawaii TDI, Short Term Disability and Leave of Absence claims of high complexity, ensuring each claim is handled with empathy, accuracy, and efficiency. This role requires a balance of analytical thinking, customer service, and regulatory compliance. You will serve as the primary point of contact for claimants, employers, and medical professionals, guiding them through the claims process and ensuring timely and fair outcomes. Your work will directly impact the financial and emotional well-being of our customers. This role can be filled as an Ability Specialist or Senior Ability Specialist based on experience.

KEY RESPONSIBILITIES
Claim Management:

• Independently manage a caseload of Hawaii state disability, Short Term Disability and Leave of Absence claims from intake through resolution.

• Conduct thorough reviews of medical records, employment history, and policy provisions.

• Determine eligibility and benefit entitlement based on contractual language and supporting documentation.

• Serve as the main contact for claimants, providing clear, compassionate, and timely updates.

• Communicate with employers, physicians, and legal representatives to gather and clarify information.

• Educate claimants on the Hawaii state disability, Short Term Disability and Leave of Absence processes, timelines, and expectations.

• Make well-reasoned decisions supported by evidence and aligned with policy terms.

• Document all claim activity, rationale, and communications in a clear and professional manner.

• Prepare written correspondence including approval, denial, and status letters.

• Collaborate with internal resources such as peers, CRO, SIU, CCXT and Team Leader

• Escalate complex or high-risk claims to senior team members or management as appropriate

• Ensure all claims are handled in compliance with State regulations, HIPAA, and other applicable regulations.

• Participate in audits, quality reviews, and continuous improvement initiatives.

QUALIFICATIONS:

• HS Diploma/GED required; Associate's or Bachelor's degree preferred.

• 1+ years of claim experience a plus.

• Medical terminology is a plus.

• Strong organizational and prioritization skills.

• Exceptional problem solving.

• Exceptional Critical Thinking Skills.

• Professional verbal and written communication skills.

• Continuous Improvement Mindset.

• Detail oriented with the ability to maintain a high-level of quality and accuracy, while meeting productivity targets in a fast-paced environment.

• Thrives in a structured team environment.

• Proficiency in Microsoft Office applications and the ability to navigate multiple systems simultaneously.

WHAT ELSE CAN YOU TELL ME?

• This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Sunrise, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business need arise.

• For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Wi-Fi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 10Mbps/75Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visithttp://www.speedtest.netfrom your personal computer.

How We Focus on Your Wellbeing:

• 401K, Medical, Dental, Vision, Life and Disability Insurance. Effective day 1.

• 25 days paid time off in your first full year and Paid Holidays

• Click on this link to learn more about our comprehensive benefits package and award-winning well-being program: https://www.thehartford.com/careers/benefits

• Tuition reimbursement - up to $5,250 (undergraduate) and $6,000 (graduate) for tuition and registration fees for degree programs that support your career development (subject to additional requirements).

• Student Loan Paydown Program - eligible to participate after 6 months of service. The Hartford will make a direct contribution of $125 per month - with a lifetime maximum up to $10,000 - as a supplemental payment towards your student loan in order to help you manage the stress of student debt and help you pay down your student loan faster.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

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