Specialist, Complex Long Term Disability Claims

Specialist, Complex Long Term Disability Claims

We are excited to bring on a highly motivated Specialist, Complex Long-Term Disability (LTD) Claims to our claims organization.

As an LTD Claims Specialist, you will manage a workload of Complex Long-Term Disability claims independently in accordance with established procedures and guidelines. You will be responsible for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. Responsibilities will also include reviewing and handling the most complex claims, including those with complex diagnoses or other claim factors that involve deeper investigation to determine appropriate claim handling.

If you enjoy working in a fast-paced team environment, then please read on!

Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable.

Collaborating with fellow case managers, nurse case managers, vocational case managers, and consulting physicians to make appropriate, ethical, and timely claim determinations.

Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning throughout the life of the claim.

Providing exceptional customer service and proactively recognizing customer needs and areas of opportunity.

Must-haves :

High School diploma or GED or minimum Associate degree in lieu of required experience.

3-5 years of claims experience, regardless of degree.

Strong written and verbal communication skills.

Excellent organization skills with the ability to multi-task.

Nice-to-haves :

Experience with disability and / or absence management.

Applications will be accepted through November 21st, 2025, and posting may come down earlier due to applicant volume.