Disability Benefit Specialist

Job Summary

To support a compassionate team, the full-time remote Disability Benefit Specialist will evaluate claims, determine benefit eligibility, and guide employees in successful return-to-work strategies while managing a caseload of disability claims.

Key responsibilities

• Manages assigned caseload of Short Term and Long Term Disability claims, ensuring timely benefit determinations
• Communicates with claimants, employers, and medical professionals to gather necessary information for eligibility and benefit authorization
• Analyzes claims activity and prepares reports for clients and management, ensuring compliance with contractual provisions and regulations

Required qualifications

• Bachelor's degree or equivalent experience required
• 2+ years of experience in STD/LTD claims adjudication
• Knowledge of ERISA regulations and Social Security procedures is essential
• Experience with FMLA/State leave claims is a plus
• Aptitude for learning medical terminology and interpreting procedures and regulations