Disability Claims Specialist

Pay Rate: $50 per hour

Work Mode: 100% Fully Remote

Summary:

• 20 hours per week - availability needed during core workdays and hours; Monday – Friday, 7:00AM – 5:00PM local time
• This position is not for evening or weekend shifts

Responsibilities:

• Manage an assigned caseload of moderately complex claims with some level of oversight
• Provide timely, balanced, and accurate claims reviews and recommended decisions
• Communicate proactively with claimants and representatives, demonstrating empathy and active listening
• Document conversations and claim evaluations in a timely and professional manner
• Interact and communicate effectively with claimants, customers, attorneys, brokers, and family members
• Compile file documentation and analyze information to determine if additional information is needed
• Collaborate with external and internal resources to gather necessary data
• Clarify and reconcile inconsistencies during claim evaluations
• Calculate monthly benefits due after the elimination period
• Provide detailed written communication during the claim evaluation process
• Address and resolve escalated customer complaints in a timely manner

Requirements:

• 3+years of LTD/IDI Insurance Claims experience
• Experience with independent judgment and decision making
• Demonstrated use of critical thinking and analysis
• Creative problem-solving abilities and ability to think outside the box
• Excellent interpersonal and communication skills in both verbal and written form
• Excellent customer service skills
• Demonstrated conceptual thinking and risk management abilities
• Organizational and time management skills
• Bachelor’s degree

Preferred Skills:

• Experience with handling complex situations effectively