North Carolina Licensed Claims Specialist

Job Summary

As a full-time remote Recertification Claims Specialist, the successful candidate will manage Long-Term Disability claims by reviewing approved claims for changes in definition, collaborating with medical professionals, and providing exceptional customer service throughout the claims process.

Key responsibilities

• Communicate with claimants, employers, and medical professionals to gather information regarding Long-Term Disability claims
• Collaborate with case managers and consulting physicians to make timely and ethical claim determinations
• Review complex medical records and leverage various tools to plan future actions throughout the claim's lifecycle

Required qualifications

• High School diploma or GED, or a minimum Associate degree in lieu of required experience
• 3-5 years of long-term disability claims experience directly related to the role's responsibilities
• Strong written and verbal communication skills
• Excellent organizational skills with the ability to multi-task
• Ability to thrive in a constantly changing environment