Sr. Case Manager - Disability and Leave Management

Build a Career That Matters with One of the World's Most Respected Employers!

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The Opportunity

The experienced Senior Case Manager, possessing a strong medical background, supports employees by providing clear communication and direction to reduce stress during a moment that matters. The Senior Case Manager will provide disability case management and claim determinations based upon objective medical documentation while handling advanced cases. Telephonic case management includes working closely with employees to evaluate each case. It involves interpreting the disability plan, resolving benefits, ensuring timely claim assessments, arranging outside vendor evaluations or referrals, and maintaining communication with all vital parties.

What You Will Do

• Telephonically manage disability and leave of absence claims so that employees can return to work no sooner and no later than medically possible.
• Analyze, approve, and authorize assigned claims to determine benefits due to the employee.
• Apply the appropriate clinical resources (ex: duration guidelines) in case assessment to ensure timely case resolution and compliance with all requisite regulations.
• Communicate clearly and effectively with employee and Michelin on all aspects of the claims process including required documentation, deliverables and deadlines, payment information and status updates.
• Assess benefits owed, ensure timely claim reviews and clearly communicate throughout the process.
• Partner with employees, managers, Occupational Health Nurses and SP business partners throughout the injury reporting and resolution process.
• Coordinate efforts to ensure consistency, respect for facts, and conducting a detailed review of contested claims
• Handle complex disabilities claims including advanced cases and transitions from short term disability to long term disability.

What You Will Bring

• Registered Nurse (RN) or related licensed health care experience required
• Strong technology skill, including proficiency with Microsoft Office products
• 5+ years' experience with benefits, disability case/claims management, or other related field
• Desire for lifelong learning/upskilling
• Bilingual in English and Spanish a plus
• Progress / Continuous Improvement approach a plus
• Solid understanding of medical conditions and terminology, duration management and ERISA.
• Ability to influence and resolve issues using strong communication skills. Both written and verbal communication skills are critical.
• Ability to function successfully in a team environment to drive progress and ensure consistency across the group.
• Ability to interact clearly and transparently with leadership. Ability to understand objectives and deliverables and orchestrate completion.
• Ability to remain calm under pressure, perform sound decision-making, diffuse difficult situations, and handle customer issues.
• Bilingual in English and Spanish is a plus.

Join Us!

If you're looking for a dynamic work environment where you can make a difference, we invite you to apply!

This opportunity is located at our primary corporate headquarters in Greenville, SC. Greenville is situated just about halfway between Charlotte, North Carolina and Atlanta, Georgia. Greenville's friendly, thriving downtown and surrounding areas are full of year-round activities for all ages. This campus features a cafeteria, credit union, trademark store and health center. Our 1,400 corporate employees take pride in thinking globally to support the diverse US and Canadian workforce while also acting locally to uplift and enhance our local Upstate communities. We are driven to be the employer of choice for people looking for a career with respect and purpose. Come join our team!

#LIHIRINGMICHELIN

Ready to Shape the Future of Innovation?

Michelin is building a world-leading manufacturer of life-changing composites and experiences. Pioneering engineered materials for more than 130 years, Michelin is uniquely positioned to make decisive contributions to human progress and a more sustainable world. Drawing on its deep know-how in polymer composite materials, Michelin is constantly innovating to manufacture high-quality tires and components for critical applications in demanding fields as varied as mobility, construction, aeronautics, low-carbon energies and healthcare.

The care placed in its products and deep customer knowledge inspire Michelin to offer the finest experiences. This spans from providing data- and AI-based connected solutions for professional fleets to recommending outstanding restaurants and hotels curated by the MICHELIN Guide.

Why Michelin?

• Career Growth: Personalized development plans, mentorship, and cross-functional opportunities. Unique career paths and opportunities for advancement.

• Inclusive Culture: Thrive in a diverse, supportive environment where your competencies, contributions and behaviors are recognized. Option to join one of our Connected Communities.

• Innovation-Driven: Work on projects that matter-from sustainable materials to digital transformation.

• Community Impact: Be part of a company that does what's right. We use sustainable business practices while balancing the needs of our customers and communities.

Michelin provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. Consistent with these obligations, Michelin also provides reasonable accommodations to employees and applicants with disabilities and for sincerely held religious beliefs. If you need accommodation for any part of the employment process because of a disability, please contact us at accommodations@michelin.com.

This position is not available for immigration sponsorship.

We build the future with people like you. Begin your career with Michelin today!