🌟 Disability Benefit Specialist – Remote 🌟 Make an impact from anywhere—and love what you do! What’s in it for you? ✅ Work remotely—your office, your vibe! ✅ Help people when they need it most. ✅ Be part of a team that values compassion, clarity, and results. Join us as a Disability Benefit Specialist and play a key role in evaluating claims, determining benefit eligibility, and guiding employees toward successful return-to-work strategies. Use your expertise in disability policies and medical/vocational issues to deliver clear, timely decisions and exceptional support. • Manages assigned caseload of disability claims for Short Term/Long Term Disability. • Communicates with claimants, employers, and various medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits. • Applies the appropriate contractual provisions; case management resources; and claim processes to ensure eligibility requirements and liability decisions are accurate. • Provides superior customer service by rendering benefit determinations within expected timeframes and quickly responding to all inquiries. • Demonstrates ability to independently manage disability claim and apply clinical guidance as provided on more complex claims. • Verifies on-going disability and participates in claim reviews with specialized resources including nurses, physicians, vocational rehabilitation, etc. to discuss return to work opportunities as appropriate. • Uses disability claim system to manage and authorize payment on claims while meeting all service, timeframe, and productions standards • Ensures a timely and appropriately coordinated transition of claims from STD to LTD, providing a well -managed and seamless claims experience to claimants. • Analyzes claims activity and prepares reports for clients/carriers and management as needed • Becomes familiar with specialized client instructions and performance guarantee standards for any assigned clients. Serves as a resource for trainees and Claims processors as needed. • Effectively works together in a team setting. • Other duties as assigned. • Bachelor's degree or equivalent experience required. • 2 + years of STD/LTD claims adjudication • Experienced in the TPA or self-administration services is desired • Experience with FMLA/State leave claims is a plus • Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations • Ability to work independently while assimilating various technical resources • Computer knowledge in excel, word, web based systems, etc • Good verbal and written communication skills • Knowledge of ERISA regulations, required offsets and deductions, disability duration and Social Security procedures • Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action. • Strong ability to identify, analyze and solve problems. • Effective interpersonal skills capable of dealing with external sources and all levels of employees. #LI-DV1