California Disability Benefit Specialist

Job Summary

Working remotely in a full-time capacity, the California Disability Benefit Specialist will evaluate claims, determine benefit eligibility, and guide employees towards successful return-to-work strategies while managing a caseload of disability claims.

Key responsibilities

• Manages assigned caseload of Short Term and Long Term Disability claims, ensuring accurate eligibility determinations
• Communicates with claimants, employers, and medical professionals to gather necessary information and provide superior customer service
• Analyzes claims activity and prepares reports for clients and management while coordinating transitions from STD to LTD benefits

Required qualifications

• Bachelor's degree or equivalent experience required
• 2+ years of experience in STD/LTD claims adjudication
• Familiarity with FMLA/State leave claims is a plus
• Knowledge of ERISA regulations and Social Security procedures
• Proficiency in Microsoft Excel, Word, and web-based systems