Job Responsibilities and Requirements

KEY RESPONSIBILITIES

*other duties as assigned*

The Vocational Rehab Specialist reviews disability claims to identify appropriate candidates for vocational rehabilitation services.  Refers candidates to case managers who assist with job placement and provision of rehabilitation services. Identifies occupations and assesses employability.

Duties and Responsibilities:

·       Reviews newly approved long term disability claims promptly to determine whether claimants may be appropriate candidates for rehabilitation services.

·       Reviews any other assigned disability claims to determine whether claimants may be appropriate candidates for rehabilitation services.  Monitors and follows up as necessary.

·       Refers appropriate candidates to a provider of rehabilitation services to determine whether such services might enable the claimant to return to the workforce.

·       Actively manages all active rehabilitation cases to ensure that rehabilitation services are provided in an efficient and cost-effective manner.

·       Assists Claims Department personnel with the identification of a claimant’s occupation as needed.

·       Provides advice to policyholders on worksite modification as needed.

·       Determines which occupations a claimant has the ability to perform based on any applicable restrictions and limitations and/or that claimant’s education, training and experience or as required under the applicable policy.

·       Clarifying/Confirming work function with medical providers

·       Contacting Claimants to discuss the Reliance Matrix Vocational Program and Vocational Options

·       Conducting Vocational Exploration with Claimants

·       Developing and executing RTW Plans with Claimants

·       Proactively bringing disability claims to Claim Discussion Meetings to clarify RTW strategy

·       Stays abreast of any changes in the applicable laws, regulations, resources, software, etc.

·       Monitors and follows up on claims which may not have originally been identified as having rehabilitation potential as appropriate.

·       Periodically reports on rehabilitation activities.

·       May work with affiliated companies to achieve corporate results.

·       Assists in marketing and new product development activities as requested.

·       May testify in legal proceedings.

·       All other duties as assigned.

Education, Qualifications and Experience:

·        Masters Degree, preferably in Rehabilitation or a closely related field highly preferred.  CRC certification required.

·       Minimum of four (4) years of experience in the provision of rehabilitation services or in the management of the provision of those services.

·       Experience with the processing of insurance claims desirable. Experience with the handling of long term disability claims or integrated disability claims helpful.

·       The ability to function with minimal supervision.

·       Excellent verbal and written communications skills.

·       Prior experience using an automated claim system desirable.

·       Some travel may be required.

 

The expected hiring range for this position is $69,890.00 - $93,300.00 annually for work performed in the primary location (Philadelphia, PA). This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate’s starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future.

Work location may be flexible if approved by the Company.

What We Offer

At Reliance Matrix, we believe that creating a more diverse, equitable and inclusive culture allows us to realize more of our potential. And we can’t do this without our most important asset—you.

That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing.  

Our Benefits:

• An annual performance bonus for all team members
• Generous 401(k) company match that is immediately vested
• A choice of three medical plans (that include prescription drug coverage) to suit your unique needs.  For High Deductibl