Disability Benefit Specialist; Arizona

Disability Benefit Specialist (Arizona) (Finance)

Disability Benefit Specialist - Remote (Arizona)

Make an impact from anywhere in Arizona-and love what you do!

• ✅ Work remotely-your office, your vibe!
• ✅ Help people when they need it most.
• ✅ Be part of a team that values compassion, clarity, and results.

Join us as a Disability Benefit Specialist and play a key role in evaluating claims, determining benefit eligibility, and guiding employees toward successful return‑to‑work strategies. Use your expertise in disability policies and medical/vocational issues to deliver clear, timely decisions and exceptional support.

• Bachelor's degree or equivalent experience required.
• 2+ years of STD/LTD claims adjudication.
• Experience in the TPA or self‑administration services is desired.
• Experience with FMLA/State leave claims is a plus.
• Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations.
• Ability to work independently while assimilating various technical resources.
• Computer knowledge in Excel, Word, web‑based systems, etc.
• Good verbal and written communication skills.
• Knowledge of ERISA regulations, required offsets and deductions, disability duration, and Social Security procedures.
• Demonstrated ability to gather and analyze information, determine a course of action, and implement the selected course of action.
• Strong ability to identify, analyze and solve problems.
• Effective interpersonal skills capable of dealing with external sources and all levels of employees.

• Manages assigned caseload of disability claims for Short Term/Long Term Disability.
• Communicates with claimants, employers, and various medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits.
• Applies the appropriate contractual provisions, case management resources, and claim processes to ensure eligibility requirements and liability decisions are accurate.
• Provides superior customer service by rendering benefit determinations within expected time frames and quickly responding to all inquiries.
• Demonstrates ability to independently manage disability claim and apply clinical guidance as provided on more complex claims.
• Verifies ongoing disability and participates in claim reviews with specialized resources including nurses, physicians, vocational rehabilitation, etc., to discuss return to work opportunities as appropriate.
• Uses disability claim system to manage and authorize payment on claims while meeting all service, timeframe, and productions standards.
• Ensures a timely and appropriately coordinated transition of claims from STD to LTD, providing a well‑managed and seamless claims experience to claimants.
• Analyzes claims activity and prepares reports for clients/carriers and management as needed.
• Becomes familiar with specialized client instructions and performance guarantee standards for any assigned clients. Serves as a resource for trainees and claims processors as needed.
• Effectively works together in a team setting.
• Other duties as assigned.