California Licensed Disability Specialist

Job Summary

A company is looking for a Disability Benefit Specialist to evaluate eligibility for benefits and manage disability claims.

Key Responsibilities

• Manage assigned caseload of Short Term and Long Term Disability claims
• Communicate with claimants, employers, and medical professionals to gather information and manage benefits
• Ensure accurate eligibility requirements and liability decisions by applying contractual provisions and claim processes

Required Qualifications

• Bachelor's degree or equivalent experience required
• 2+ years of experience in STD/LTD claims adjudication
• Experience in TPA or self-administration services is preferred
• Aptitude for learning medical terminology and interpreting procedures
• Knowledge of ERISA regulations and Social Security procedures