Disability Claims Specialist

Job Title: Disability Claims Specialist (Part-Time)

Location: Fully Remote (Must be available during EST business hours)
Pay Rate: $50.00/hr (W2) –Weekly Pay
Schedule: 20 hours/week (Monday–Friday, 7:00 AM – 5:00 PM, No evenings/weekends)
Duration: 12 Months (Possible extension based on performance)
Start Date: ASAP

Job Summary

We are seeking an experiencedDisability Claims Specialist (LTD/IDI) to evaluate and manage long-term disability claims. This role requires stronganalytical skills, independent decision-making, and excellent customer communication in a fast-paced, compliance-driven environment.

Key Responsibilities

• Manage a caseload ofmoderately complex LTD claims (pending, active, and appeals)
• Conducttimely, accurate claim evaluations in line with policy provisions and regulatory standards
• Communicate with claimants, attorneys, physicians, and other stakeholders withempathy and clarity
• Gather and assessmedical, occupational, and financial information
• Document all claim activities withhigh attention to detail and professionalism
• Makefair, well-supported claim decisions using critical thinking
• Collaborate with internal and external partners (medical, legal, vocational experts)
• Identify and resolve discrepancies; escalate fraud or complex cases when needed
• Calculate benefits includingCOLA, Social Security offsets, and return-to-work benefits
• Handle escalations, complaints, and refer cases to appeals or legal teams when appropriate

Required Qualifications

• 3+ years of LTD/IDI Insurance Claims experience
• Bachelor’s degree
• Strongdecision-making and analytical skills
• Ability to handlecomplex claim scenarios independently
• Excellentverbal and written communication skills
• Provencustomer service experience
• Strongorganizational and time management skills