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/Long Term Disability claims
• Communicate with claimants, employers, and medical professionals to gather necessary information for claims management
• Ensure accurate application of contractual provisions and case management resources for eligibility and liability decisions

Required Qualifications

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