Claims and Benefits Specialist

A company is looking for a Claims and Benefits Specialist to support the processing and management of disability claims. Key Responsibilities Monitor and manage a low-volume portfolio of short-term disability claims Review and evaluate claim files to verify documentation and determine benefit eligibility Analyze claimant medical information and policy terms to make timely benefit decisions Required Qualifications High school diploma or equivalent; additional relevant education or training is a plus 2-4 years of experience in claims processing or insurance administration Ability to interpret policy provisions and apply them to individual claims Familiarity with regulatory requirements such as ERISA and Fair Claim Settlement Practices is preferred Proficiency in Microsoft Office applications and claims processing systems

Mar 21, 2025 - 21:35

A company is looking for a Claims and Benefits Specialist to support the processing and management of disability claims. Key Responsibilities Monitor and manage a low-volume portfolio of short-term disability claims Review and evaluate claim files to verify documentation and determine benefit eligibility Analyze claimant medical information and policy terms to make timely benefit decisions Required Qualifications High school diploma or equivalent; additional relevant education or training is a plus 2-4 years of experience in claims processing or insurance administration Ability to interpret policy provisions and apply them to individual claims Familiarity with regulatory requirements such as ERISA and Fair Claim Settlement Practices is preferred Proficiency in Microsoft Office applications and claims processing systems