Recertification Claims Specialist

Job Summary

Reviewing approved claims for changes in definition, the full-time remote Recertification Claims Specialist will communicate with claimants and medical professionals, collaborate with case managers, and analyze complex medical records to ensure timely claim determinations.

Key responsibilities

• Communicate with claimants, employers, and medical professionals to gather information on Long Term Disability claims
• Collaborate with case managers and consulting physicians to make ethical and timely claim determinations
• Review complex medical records and utilize various tools for action planning throughout the claim's lifecycle

Required qualifications

• High School diploma or GED, or minimum Associate degree in lieu of required experience
• 3-5 years of long-term disability claims experience or 0-1 year with an Associate degree
• Strong written and verbal communication skills
• Excellent organizational skills with the ability to multi-task
• Experience with disability and/or absence management is a plus