Short Term Disability Case Specialist

Short Term Disability Case Specialist
Location: Remote - EST
Schedule/Shift: Monday-Friday, 8:30 AM-5:00 PM EST
Pay: $30.50 per hour
26-10786

Position Overview
The Short Term Disability Case Specialist manages routine disability claims and makes timely, accurate determinations regarding benefit eligibility and payment. This role reviews policy provisions, duration guidelines, clinical recommendations, and supporting documentation while communicating with claimants, employers, medical professionals, and other parties as needed. The position requires strong analytical and decision-making skills, attention to detail, confidentiality, and the ability to work independently in a fast-paced environment.

Job Responsibilities

• Review short term disability claims and make final determinations regarding benefit approval, denial, or further review.
• Approve claim payments within established authority and applicable guidelines.
• Review duration guidelines and recommendations from clinical or vocational resources to determine appropriate claim disposition.
• Complete strategy assessments and ensure claims are adjudicated accurately, efficiently, and within required timelines.
• Interpret policy provisions and apply consistent claims practices in accordance with applicable laws, regulations, and procedures.
• Obtain supporting documentation needed to substantiate disability claims.
• Communicate with claimants, employers, physicians, attorneys, and other resources by telephone and other appropriate methods.
• Maintain accurate documentation while handling confidential information.
• Provide support to other claims staff and participate in special projects or assignments as business needs require.
• Work independently while collaborating effectively with team members.
• Meet deadlines while maintaining a high level of accuracy and attention to detail.

Job Requirements

• 1+ year of customer service or financial services experience.
• Strong mathematical skills for calculations and claim payments.
• Strong judgment and decision-making skills when applying policy provisions.
• Ability to understand and interpret legal and medical terminology.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Strong organization, interpersonal, and multitasking skills.
• Strong client service orientation and solution-focused approach.
• Ability to work effectively in a fast-paced and demanding environment.
• Ability to work autonomously while maintaining effective team collaboration.
• Proficiency with Microsoft Outlook, Word, and Excel.
• Ability to learn and effectively use multiple computer applications.
• Ability to handle highly confidential information with discretion.
• Reliable and predictable attendance on a full-time basis.
• Ability to work remotely while maintaining required Eastern Time Zone hours.

Education

• Associate or bachelor's degree is preferred.

Work Experience

• 1+ year of customer service or financial services experience required.
• Short term disability or claims management experience preferred.

About Equiliem

Equiliem believes in empowering success. It's our job to cultivate relationships that connect people and employers in a way that is inclusive, intelligent, and allows both to thrive.

Across the U.S., leading companies in healthcare, government, engineering, manufacturing, professional services, and energy rely on us for their workforce solutions. Our recruiting and HR services include contract and direct hire staffing, Payrolling/EOR, Independent Contractor Compliance, and Managed Services.

For almost 30 years, we've helped shape our industry. Today, we continue to research, ask questions, and continuously enhance the candidate journey and client experience.

Benefits

We offer a comprehensive benefits package to our employees, which includes:

• Medical Insurance
• Vision & Dental Insurance
• Life Insurance
• Matching 401(k)
• Commuter Benefits
• Employee Discounts & Rewards
• Payroll Payment Options

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Equiliem is an equal opportunity employer. We do not discriminate or allow discrimination based on race, color, religion, creed, sex, age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Equiliem will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [emailprotected] or (732) 238-6050.