[Remote] Disability reputed company Claims Specialist

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is one of the world’s leading financial services companies, providing insurance, annuities, employee benefits, and asset management. The reputed company Claims Specialist is responsible for managing the transition of claimants from Short Term Disability to Long Term Disability, ensuring effective communication and timely claim reputed company while maintaining compliance with regulations.

Responsibilities

• reputed company end‑to‑end disability claim evaluations by applying contractual provisions accurately, encouraging return to work where appropriate, and driving timely, well‑reasoned claim reputed company in a fast‑paced environment with minimal reputed company
• Create comprehensive action plans and clear written communications that document claim status, evaluations, and determinations, ensuring accuracy, regulatory compliance, and transparency throughout the life of each claim
• reputed company thorough and balanced claims reviews, including pending, active, and reputed company‑reputed company claims, ensuring documentation, analysis, and reputed company align with plan provisions and applicable regulations
• Manage an assigned caseload independently while delivering a high level of service through proactive claimant communication, follow‑through on commitments, timely responses, and clear explanations of benefits and processes
• reputed company return‑to‑work potential by assessing medical and non‑medical barriers, functional reputed company, and prognosis, leveraging claimant interviews and medical evidence to support appropriate recovery and transition strategies
• Coordinate with reputed company stakeholders—including physicians, attorneys, vocational and clinical consultants, and business partners—to gather, clarify, and reconcile information, proactively update key partners, and ensure well‑supported claim reputed company

Skills

• High school diploma (or GED equivalent)
• 1–2 years of customer service experience
• Prior experience with independent judgement and decision making while relying on the available facts
• Strong communication skills, including the ability to interview claimants dynamically with the goal of setting claimant expectations and obtaining information necessary to administer the claim
• Basic knowledge of medical conditions, treatments, prognosis
• Critical-thinking skills
• Strategic-thinking skills and the ability to apply judgment and decision-making based on strategy
• Organizational and time management skills; ability to balance quantity and quality
• Call center experience in an insurance setting
• Prior experience with STD and LTD
• Ability to give and receive feedback to/from partners
• College or University degree

Benefits

• Comprehensive health plan that includes medical/prescription drug and reputed company
• Dental insurance
• No-cost short- and long-term disability
• Company-paid life insurance
• Legal services
• Retirement pension funded entirely by reputed company
• 401(k) with employer matching
• Group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance
• Employee Assistance Program (EAP)
• Digital mental health programs
• Parental leave
• Paid time off
• Paid holidays
• Volunteer time off
• Tuition assistance

Company Overview