California Licensed Disability Specialist

Job Summary

To support a growing team, the full-time California Licensed Disability Specialist will evaluate claims, determine benefit eligibility, and guide employees in return-to-work strategies while working remotely.

Key responsibilities

• Manage a caseload of Short Term and Long Term Disability claims, ensuring compliance with contractual provisions and eligibility requirements
• Communicate with claimants, employers, and medical professionals to gather necessary information and provide timely benefit determinations
• Analyze claims activity and prepare reports for clients and management, while ensuring a seamless transition of claims from STD to LTD

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 computer applications such as Excel and web-based systems