DI Claims Specialist

At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference. Primary Duties & Responsibilities • Determine applicability of benefits claimed by interpreting contract provisions and maintaining consistency with our Disability Benefits claim philosophy. • Order and review appropriate medical, financial, investigative, and other information needed to determine the eligibility of claims. • Actively manage a caseload of pending and active claim files by evaluating claim information and making decisions regarding approval, denial, continuing payments, and terminations on a regular, ongoing basis. • Communicate both verbally and in writing with insureds, field representatives, medical practitioners and related facilities, attorneys, other insurance companies, appointed financial advisors, employers, governmental agencies and divisional resources which involves negotiation and conflict resolution. • Preserve Northwestern Mutual's image and reputation in making benefit decisions despite difficult and delicate circumstances. • As part of the claim handling process, may be called upon to represent the Company in legal matters through preparation for and participation in depositions and trials. • Approval limits: $0-$6,000 contestable and non-contestable claims. Qualifications • Bachelor's degree, experience in administering disability claims, or equivalent work experience. • 1-3 years of responsible and relevant work experience demonstrating analytical ability, independent decision-making and sound judgment in the application of guidelines. • Ability to collaborate within and across teams to obtain the best possible results. • Excellent organization and communication skills with emphasis on written communication Compensation Range: Pay Range - Start: $52,220.00 Pay Range - End: $96,980.00 Northwestern Mutual pays on a geographic-specific salary structure and placement in the salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity as well as the cost of labor in the market; and other conditions of employment. At Northwestern Mutual, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. Please note that the salary range listed in the posting is the standard pay structure. Positions in certain locations (such as California) may provide an increase on the standard pay structure based on the location. Please c lick here for additional information relating to location-based pay structures. Grow your career with a best-in-class company that puts our client's interests at the center of all we do. Get started now! We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age or status as a protected veteran, or any other characteristic protected by law. If you work or would be working in California, Colorado, New York City, Washington or outside of a Corporate location, please click here for information pertaining to compensation and benefits. FIND YOUR FUTUREWe're excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and commitment to diversity and inclusion. Flexible work schedulesConcierge serviceComprehensive benefitsEmployee resource groupsPandoLogic. Keywords: Insurance Examiner, Location: Franklin, WI - 53132

Created: 2025-03-07