Senior Long Term Disability Claims Specialist

Pacific Life • Omaha, TN

6d • $73,260 - $89,540

About The Position

Pacific Life is seeking a Senior Long Term Disability Claims Specialist to join its Workforce Benefits Division. The role provides best practices and innovative solutions for end-to-end administration of Long Term Disability claims. The specialist applies regulatory and compliance knowledge related to supplemental health benefits and partners with Compliance, Legal, and Support Services to resolve issues in a timely manner. The position calls for technical expertise, critical thinking, regulatory knowledge, and compassion in helping customers navigate important life events.

The specialist manages complex LTD claims from initial intake through resolution, makes timely and accurate decisions in accordance with policy provisions, and collaborates with clinical and vocational partners on return-to-work strategies and benefit eligibility. As a subject matter expert, the specialist advises on claim practices and helps improve internal procedures, workflows, and system requirements. The role also supports team development, cross-functional coordination, continuous improvement, and a compliant claims experience.

Pacific Life describes its culture as collaborative and inclusive, with a focus on employee wellbeing and support. The role's stated base pay range is $73,260 to $89,540. Eligible employees may also receive incentive pay. Benefits begin on the first day of employment and include medical, dental, vision, and wellbeing reimbursement coverage; paid time off and holiday schedules; financial planning time off; paid parental leave; adoption assistance; and a 401(k) savings plan with company match and an additional contribution regardless of participation.

Requirements

• Minimum 5 years of experience handling Long Term Disability claims.
• Strong understanding of LTD claim adjudication and relevant federal and state regulations, including FMLA, ERISA, HIPAA, and ADA.
• Experience partnering with clinical and vocational professionals to support return-to-work efforts and complex decision-making.
• Effective verbal and written communication skills, including the ability to explain complex decisions clearly and empathetically.
• Problem-solving and analytical skills with a customer-first mindset.
• Strong organizational and detail-oriented skills, including the ability to manage competing priorities.
• Ability to mentor peers and support a collaborative team environment.
• Proficiency with claims administration platforms and workflow and documentation tools.

Nice To Haves

• College degree or equivalent experience is preferred.
• Experience with Short Term Disability and/or absence management.
• Significant experience managing complex LTD claims from initial review through resolution.
• A strong service mindset and commitment to supporting claimants and employer customers.
• Ability to balance technical expertise and sound claim decisions with empathy, responsiveness, and clear communication.
• Reputation as a trusted resource and collaborative partner who follows through and helps solve problems.
• Experience mentoring and developing others, sharing knowledge, and promoting consistency across the team.
• Continuous-improvement mindset, with the ability to identify process efficiencies that improve the customer and claimant experience.
• Ability to thrive in a growing organization and help shape its processes and service.

Responsibilities

• Manage a diverse and often complex caseload of LTD claims from initial intake through resolution, making timely, fair, and accurate decisions using sound judgment and following policy provisions.
• Collaborate with clinical and vocational partners to develop return-to-work strategies and determine benefit eligibility and durations.
• Serve as a subject matter expert on LTD claim practices, advise on best practices, and contribute to the design and refinement of internal procedures, workflows, and system requirements.
• Apply knowledge of disability contract provisions, exclusions, riders, waivers, and applicable regulatory and statutory requirements, including FMLA, ERISA, and HIPAA.
• Document decisions and interactions accurately and communicate clearly with claimants, employers, and internal stakeholders.
• Mentor and support onboarding of new team members, share expertise, and foster knowledge growth within the team.
• Collaborate with Compliance, Legal, Intake/Admin, Clinical and Vocational Services, and other business units to provide a coordinated and compliant claims experience.
• Identify process gaps and opportunities and contribute to continuous improvement efforts and enterprise initiatives.
• Adapt to changing priorities, business needs, and regulatory requirements.
• Maintain confidentiality, professionalism, and integrity in claim-related activities.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage.
• Wellbeing Reimbursement Account for the employee or eligible dependents.
• Paid time off.
• Holiday schedules.
• Financial Planning Time Off.
• Paid parental leave.
• Adoption assistance program.
• 401(k) savings plan with company match and an additional contribution regardless of participation.
• Additional incentive pay may be available to eligible employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed