Senior Short Term Disability Specialist

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Oversee a varied and intricate caseload of Short Term Disability claims from the initial intake phase to resolution.

• Make prompt, equitable, and precise decisions in line with policy guidelines.

• Work in partnership with clinical and vocational teams to formulate return-to-work plans and assess benefit eligibility and durations.

• Act as a subject matter expert on Short Term Disability claim practices.

• Provide consultations on best practices and aid in the development of internal procedures, workflows, and system requirements.

• Utilize knowledge of disability contract provisions, exclusions, riders, waivers, and regulatory/statutory obligations.

• Accurately document decisions and interactions while communicating effectively with claimants, employers, and internal stakeholders.

• Mentor and facilitate the onboarding process for new team members.

• Collaborate with Compliance, Legal, Intake/Admin, Clinical and Vocational Services, and other business units.

• Recognize process gaps and contribute to ongoing improvement and enterprise initiatives.

• Adjust to shifting priorities, business needs, and regulatory changes.

• Uphold confidentiality, professionalism, and integrity in all claim-related activities.

⛳️ Requirements

• At least 3 years of experience managing Short Term Disability claims.

• In-depth knowledge of Short Term Disability claim adjudication and pertinent federal/state regulations, including FMLA, ERISA, HIPAA, and ADA.

• Experience collaborating with clinical/vocational professionals to enhance return-to-work efforts and facilitate complex decision-making.

• Strong verbal and written communication skills.

• Proficient problem-solving and analytical abilities.

• Capability to juggle competing priorities effectively.

• Ability to mentor colleagues and foster a collaborative team environment.

• Familiarity with claims administration software and workflow/documentation tools.

• Capacity to work independently and make sound judgments.

• Commitment to ongoing learning and enhancement.

• Excellent time management skills and ability to excel in a dynamic, fast-paced environment.

• Experience in supporting cross-functional or enterprise initiatives and managing change efforts.

• A college degree or equivalent experience is preferred.

• Background in Long Term Disability and/or absence management is advantageous.

🏝️ Benefits

• Medical, Dental, Vision coverage.

• Wellbeing Reimbursement Account for employees or eligible dependents.

• Paid Time Off.

• Holiday Schedules.

• Financial Planning Time Off.

• Paid Parental Leave.

• Adoption Assistance Program.

• Competitive 401k savings plan with company match.

• Additional 401k contributions regardless of participation.

• Flexible benefits that can be customized to meet individual needs.

• Eligibility for additional incentive pay.