Benefit Claim Specialist

About the Disability Claims Specialist Job

Are you a detail-driven professional with strong analytical and decision-making skills? This Disability Claims Specialist job offers the opportunity to manage the full lifecycle of disability claims — from evaluation to adjudication — while ensuring accuracy, compliance, and excellent customer service. As a Disability Claims Specialist, you’ll analyze medical and vocational information, make informed benefit decisions, and maintain transparent communication with claimants, employers, and healthcare professionals.

This role offers competitive pay, bonus opportunities, a strong 401(k) plan, and a supportive, inclusive work culture focused on growth and excellence.

Key Responsibilities of a Disability Claims Specialist

As a Disability Claims Specialist, you will:

• Manage the complete lifecycle of disability claims, from adjudication to ongoing evaluation.

• Review and verify medical, vocational, and contractual data to determine claim eligibility.

• Maintain clear documentation of actions and rationales for transparency and compliance.

• Communicate regularly with claimants, employers, medical experts, and brokers.

• Adhere to ERISA and regulatory standards, ensuring fair and consistent claim handling.

• Stay informed about insurance industry trends, regulations, and policy updates.

• Demonstrate strong critical thinking and independence in decision-making.

Qualifications for the Disability Claims Specialist Role

To excel in this Disability Claims Specialist role, you’ll need:

• Understanding of insurance contracts, disability benefits, and related regulations.

• Excellent communication and customer service skills.

• Proficiency in Microsoft Office and familiarity with systems such as GSAP or Fineos.

• Strong attention to detail and the ability to prioritize tasks and meet deadlines.

• Ability to work independently in a fast-paced remote environment.

• Located within the U.S. or Puerto Rico with reliable high-speed internet access.

Preferred:

• Experience in disability or long-term care claims processing.

• Knowledge of claim file development and documentation.

• College degree or equivalent insurance industry experience.

Why You’ll Love This Disability Claims Specialist Job

This Disability Claims Specialist job not only offers a chance to make an impact but also provides valuable benefits, including:

• Hourly pay between $22.75 and $27.00, plus annual bonus eligibility.

• 401(k) plan with 2% company contribution and 6% match.

• Generous paid time off, vacation days, and holidays.

• Remote flexibility and a focus on work-life balance.

• Opportunities for professional growth in a collaborative environment.