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Benefits Case Manager

Company: Saint Luke's Health Systems
Location: Boise
Posted on: May 3, 2021

Job Description:

OverviewSt. Luke's Health System in Boise is seeking a Case Manager to join our Benefits team.Position SummaryThe Case Manager is responsible for the investigation and administration of SLHS basic to intermediate leave of absence(LOA) and/or Long-Term Disability (LTD) claims. This role assists employees through the statutory and plan rules including working with and referring to internal and external resources.Responsibilities* Investigates and administers basic to intermediate claims under general supervision. Verifies compensability through research of plan, statutory rules, case law, contact with employees, medical providers, employer, in-house counsel and/or external counsel; makes determinations regarding Benefits.* Communicates benefits and/or decisions within established timeframes.* Establishes and maintains adequate reserves to cover estimated cost of claims; provides reports on established reserves.* Maintains claim files and updates with information from employer, employee and medical providers. Continuously evaluate need for nurse case manager, independent medical providers, panel evaluations, etc.* Calculates earnings; pays appropriate benefits on a timely basis in accordance with the applicable Plan and/or statutory regulation.* May calculate annual review of Indexed Pre-disability Earnings and Monthly Benefit Rates on Total Disability Claims and communicates out accordingly.* Investigates and seeks third party recovery on claims, as appropriate. Analyze other opportunities for offsets of Other Income Benefits and make referrals to external resources as appropriate.* Reports on claims issues to key stakeholders, including, but not limited to: employee, medical providers, legal counsel, and/or leadership.* Collaborates with Employees, Department leadership, Employee Relations and/or external vocational rehabilitation consultants when an employee is released to return to work to determine available work within SLHS and/or the community.* Collects, analyzes and presents data.* Ensures compliance with applicable rules, regulations and policies.* Provides day-to-day advice, interpretation, and support to client departments regarding the application of human resources policies, guidelines, procedures, and best practices.* Performs other duties and responsibilities as assigned.Qualifications* Education: Bachelor's degree OR 4 years of experience in lieu of degree, 2 years of experience must be HR specific* Experience: NonePreferred Experience* FMLA and leave of absence experienceWhy St. Luke'sA strong, talented staff is at the heart of St. Luke's Health System. We are the state's largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We're proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.About BoiseKnown as the "City of Trees," Boise is Idaho's capital city-both a cultural center and a playground for those who love the outdoors. A vibrant downtown area affords fine dining, theatre, music, and college and semi-professional sports. Downtown Boise's main attractions include the Idaho State Capitol, the classic Egyptian Theatre, the Boise Art Museum, Julia Davis Park and Zoo Boise. The Greenbelt follows the beautiful Boise River corridor for more than 30 miles, and the Boise foothills are home to miles of hiking and biking trails.Learn more about what the Boise has to offer you:Learn more about what the City of Trees has to offer you:St. Luke's Health System | Boise Convention and Visitors Bureau | Boise Parks and Recreation | Boise Museum Association | Boise Music Festival | Boise Philharmonic | Downtown Boise Restaurants | Boise Valley Economic Partnership | Hyde Park events | Treefort Music Festival | First Thursdays | Alive After Five | Capitol City Public Market | Runs and Triathlons | Shakespeare Festival | Sawtooth National Forest | Visit* St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. Associated topics: business development, case manager, case management, development, development manager, liaison, office manager, project, project development, project management

Keywords: Saint Luke's Health Systems, Boise , Benefits Case Manager, Other , Boise, Idaho

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