Disability Benefit Specialist

Crawford & Company•United States,

3d•$37,356 - $68,305•Remote

About The Position

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.

Requirements

Bachelor's degree or equivalent experience required.
2 + years of STD/LTD claims adjudication
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.

Nice To Haves

Experienced in the TPA or self-administration services is desired
Experience with FMLA/State leave claims is a plus

Responsibilities

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 timeframes and quickly responding to all inquiries.
Demonstrates ability to independently manage disability claim and apply clinical guidance as provided on more complex claims.
Verifies on-going 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.

Benefits

Competitive base pay
Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
Medical, Dental and Vision Plans
Prescription Drugs
HSA, HRA, and FSA Accounts
Paid Holidays, Vacation and Sick Leave
401(k) Retirement Plan
Tuition Assistance
Paid Parental Leave
Supplemental Health Benefits
Enhanced Mental Health Support
Virtual Physical Therapy
Caregiving Services
Life Assistance Program
Training programs that promote continuous learning and career progression while enhancing job performance.
Sustainability programs that give back to the communities in which we live and work.
A culture of respect, collaboration, entrepreneurial spirit and inclusion.