California Licensed Claims Specialist

Job Summary

Managing a workload of Short-Term Disability claims, the full-time California Licensed Claims Specialist will conduct interviews, review medical records, and make timely claim determinations while working remotely.

Key responsibilities

• Communicate with claimants, employers, and medical professionals to gather information regarding claims
• Collaborate with case managers and physicians to ensure appropriate and timely claim determinations
• Review complex medical records and perform accurate financial calculations in line with company and state guidelines

Required qualifications

• High School diploma or GED
• 1-2 years of experience in claims, leaves, or customer service
• Experience with disability and/or absence management claims
• Strong mathematical skills for payment calculations