Long Term Disability Claims Advisor - 08/10/2026 Start Date

The Role at a Glance

We’re looking for a driven and compassionate experienced Long-Term Disability (LTD) Claims Examiners to join our growing team in a 100% remote environment. In this role, you’ll make a meaningful impact—helping individuals navigate some of life’s most challenging moments while delivering fair, timely, and thoughtful claim decisions.

Why should you join our team?

• Make a meaningful impact – Support individuals through life’s most critical moments by delivering thoughtful, fair, and timely claim decisions.
• Join a high-performing, respected team – Be part of a collaborative environment known for best-in-class audit performance and operational excellence.
• Grow your career with purpose – Develop your expertise in a supportive environment that values continuous learning, professional growth, and advancement.
• Thrive in an innovative environment – Work within a dynamic team that embraces change, drives continuous improvement, and is shaping the future of claims.

What you'll be doing

• You will independently manage a caseload of Long-Term Disability (LTD) claims from intake through resolution, partnering with claimants, employers, and medical professionals via phone and email to gather and assess information related to disability status and applicable state and federal benefits.
• You will conduct initial and ongoing interviews with claimants to gather key information for claim evaluation, while reviewing medical documentation and partnering with clinical and vocational experts to support informed decisions.
• You will deliver timely and ethical claim determinations, ensuring consistency with company guidelines and regulatory standards.
• You will collaborate with case managers, nurse case managers, vocational specialists, and consulting physicians to support appropriate, ethical, and timely claim determinations.
• You will review complex medical records and leverage a variety of tools and resources to determine appropriate claim durations and guide ongoing action planning throughout the claim lifecycle.
• You will deliver exceptional customer service by proactively identifying needs and opportunities, while building strong relationships with claimants, employers, and internal partners.

What we’re looking for

• Must-have experience:
• 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's).
• 1+ Years of long-term disability claims experience directly aligned with the specific responsibilities for this role.
• Strong written and verbal communication skills.
• Excellent organization skills with the ability to multi-task.
• Nice-to-have Experience (Preferred):
• Experience mentoring or coaching newer examiners.
• Continuous improvement mindset (process optimization, efficiency, quality).
• Exposure to predictive analytics / AI tools.