Disability Benefit Specialist
Core
Evaluate disability claims, determine benefit eligibility, and guide employees toward return-to-work strategies.
Role type
Disability Benefit Specialist (Claims Adjudication)
Builds
Short Term and Long Term Disability benefit decisions and claim management
Domain
Insurance / Human Resources / Disability Benefits
Deliverable
client delivery
Required skills
Disability claims adjudication, ERISA regulations, medical terminology interpretation, vocational rehabilitation coordination, claim system management, report preparation
Preferred skills
TPA or self-administration services experience, FMLA/State leave claims experience
Responsibilities
Manage assigned caseload of STD/LTD claims, communicate with claimants and medical professionals, apply contractual provisions for eligibility decisions, verify ongoing disability status, coordinate return-to-work strategies, analyze claims activity and prepare reports
Seniority
Mid-level, independent contributor