Disability Appeal Specialist

Job Summary

Responsible for conducting thorough reviews of denied claims, the full-time virtual Disability Appeal Specialist will assess claim accuracy, adhere to ERISA guidelines, and collaborate with the Appeal team to ensure timely decision-making.

Key Responsibilities

• Manage claim files and conduct comprehensive reviews considering contract provisions and clinical information
• Oversee caseload management across multiple systems to ensure timely decisions according to ERISA
• Create clear and concise written correspondence for claimants and policyholders in a timely manner

Required Qualifications

• 3-5 years of experience in Disability Claims, with a preference for appeal handling
• Strong prioritization and multi-tasking skills, with a keen attention to detail
• Ability to build and maintain strong relationships with team members and internal partners
• Experience utilizing AI in a professional setting
• Willingness to accept change and provide constructive feedback