Short Term Disability Case Associate
Location: Cincinnati, OH (Hybrid/Remote)
Duration: 6 months
Manage end-to-end short term disability claims process
Act as mayor
Evaluate medical and claim documentation for eligibility decisions
Ensure timely adjudication and benefit payments
Collaborate with clinical and vocational teams for case assessment
Handle claim escalations and workload prioritization
Support return-to-work planning and outcomes
Maintain compliance with disability plans and regulations
Communicate effectively with stakeholders throughout claim lifecycle
Contribute to service improvement and operational efficiency
Provide disability case management and adjudicate claims based on medical records and plan guidelines
Review diagnostic tests, medical notes, and reports to determine disability status
Perform outreach to employees, physicians, and employers for missing documentation
Use clinical tools such as duration guidelines and expert consultations for assessments
Partner with clinical and vocational teams to support claim decisions and return-to-work goals
Analyze, approve, and authorize claims under short term disability plans
Communicate claim status, expectations, and decisions via calls and written communication
Manage workload, track deliverables, and handle escalations (first and second level)
Process payments, approvals, and adjustments including Workers Compensation and state disability offsets
Experience in short term disability case handling
Ability to interpret medical documentation and disability plans
Knowledge of Workers Compensation and disability offsets
Strong analytical and decision-making skills
Good verbal and written communication
Ability to manage multiple cases efficiently
High attention to detail and accuracy
Disability Claims Processing
Medical Record Analysis
Claims Adjudication and Benefit Calculation
Insurance Domain Knowledge (Disability Claims)
Case Management and Decision Making
Client Communication and Stakeholder Handling
Regulatory Compliance and Policy Interpretation
Workload and Escalation Management
Process Improvement and Quality Assurance
Experience Required: 4-6 years or above