PFL Claims Specialist

Job Summary

Working remotely, the full-time STAT PFL Claims Specialist will conduct interviews with claimants, review medical records, and make timely claim determinations while providing exceptional customer service.

Key responsibilities

• Communicate with claimants, employers, and medical professionals to gather information regarding Short Term Disability claims
• Collaborate with case managers and consulting physicians to ensure appropriate and timely claim determinations
• Review complex medical records and perform accurate financial calculations in accordance with company and state guidelines

Required qualifications

• High School diploma or GED
• 1-2 years of experience in claims, leaves, or customer service
• Strong organizational skills with the ability to manage multiple priorities
• Proven ability to handle a high volume of inbound and outbound calls
• Experience with disability and/or absence management is a plus