Jeff Ebert Email & Phone Number

Glenview, Illinois, United States

Aurora, Illinois, United States

• Reviewed and evaluated new and ongoing STD claims to determine liability, giving consideration to contract provisions and medical/vocational information
• Made accurate, timely decisions on claims based on contract/plan provisions, guidelines, and thorough analysis of information/documentation provided by claimants, employers and physicians
• Identified and forwarded appropriate claims for development by specialized internal and external resources in such areas as rehabilitation, investigations, medical examinations/consultations
• Applied disability management principles within established guidelines
• Investigated and question aspects of claims, determined need for additional medical information and requested periodic medical updates to assess disability or return to work potential
• Maintained consistent quality audit score rating which exceeds customer contract requirements

Schaumburg, IL

• Maintained weekly accounting reports for new claims paid and received
• Analyzed life and annuity claims to determine extent of insurance carrier's liability
• Effectively communicated with doctors, lawyers, and other parties involved with claims to resolve coverage questions
• Paid claimants amounts due according to settlement agreements, company procedures, and applicable state and federal laws
• Consulted with company legal counsel to resolve complex coverage questions
• Calculated and requested reimbursement from the appropriate re-insurer on death claims re-insured