Benefit Claim Specialist -STD

Disability Class starts on Monday, October 19th, 2026. Training hours are from 7:30 a.m. to 4:00 p.m. CST for up to 10 weeks. After training, you must be able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico.

About the role

As a vital member of our Claim Disability teams, you will make informed decisions throughout the life of insurance claims, from initial adjudication to ongoing claims management. You will collaborate with management, leveraging claim facts and conducting thorough evaluations to gather pertinent information and formulate appropriate action plans.

Responsibilities

• Make decisions in partnership with management based on a comprehensive understanding of claim facts and thorough evaluation of relevant information.
• Develop case files that showcase sound decision-making in accordance with documented procedures, using claim facts, policy provisions, and special handling agreements.
• Foster effective business relationships through clear communication with claimants, brokers, sales organizations, vendor partners, employers, and internal departments such as underwriting and legal.
• Thoroughly document all claim decisions and actions meticulously, maintaining regular and appropriate communication.
• Spend 50% of your day on the phone with claimants, employers, and medical professionals throughout the entire claims life cycle.
• Review and determine ongoing claim liability, involving the evaluation of claim documentation, resolution of queries, and identification of any changes in claim status or benefits.
• Collaborate with internal and external partners, including brokers, sales organizations, clinical and physician resources, vocational experts, and financial resources.
• Accurately determine financial liability by analyzing salary, other income sources, medical/vocational information, and contract language.
• Exercise limited autonomy to approve initial and ongoing payments based on a holistic file evaluation.

Requirements

• 3+ years of current Short Term Disability Claims Processing experience.
• Foundational ability to analyze, comprehend, and apply insurance provisions and contracts to disability claims.
• Ability to calculate disability benefits based on contract provisions and offset management to ensure fair, equitable, and consistent treatment of claims for accurate financial payments and policyholder retention.
• Proficient with navigating multiple systems and Microsoft Office Suite.
• Provide a solid level of customer service (written and verbal) while displaying empathy to customers.
• Promote a collaborative culture, value different ideas and opinions, and listen courageously, remaining curious in all that you do.
• After training, able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico.

Pay

• Benefit Claim Specialist: $26.00 - $27.00 per hour, plus annual bonus opportunity.
• Senior Benefit Claim Specialist: $56,000 - $70,000 per year, plus annual bonus opportunity.
• Lead Benefit Claim Specialist: $59,500 - $76,000 per year, plus annual bonus opportunity.

Benefits

• 401(k) plan with a 2% company contribution and 6% company match.
• Work-life balance with vacation, personal time, and paid holidays.