Claims Examiner II - SSL

Claims Examiner II role focused on the processing and adjudication of NYS Short-Term Disability and Paid Family Leave claims, ensuring accurate benefit payments in accordance with applicable laws. Responsibilities include analyzing claim definitions, researching eligibility and pre-existing formulas, developing operating knowledge of claims systems, investigating issues, issuing timely payments or denials, documenting actions clearly, and communicating with claimants, policyholders, and physicians. Requires strong written and verbal communication, ability to work in a team, and adherence to department procedures. Benefits include hybrid/remote work options for eligible roles, competitive compensation, and comprehensive coverage. Familiarity with Microsoft Office and ability to manage multiple claims with attention to detail is essential.