Disability Case Manager — Remote/Temp

Alight Solutions Ltd; Florida; Hybrid; USD 39,000 - 50,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Vision coverage

Wellbeing programs

Retirement matching

Generous time off

Parental leave

Continuing education

Job summary

Alight Solutions is seeking a temporary Disability Case Manager in the United States (Florida) to administer and manage assigned Group Disability claims in compliance with plan provisions and regulations. You will collaborate with STD, LTD, and Risk Management resources to support claim outcomes.

Responsibilities include proactive outreach, communicating decisions, and reviewing claims to meet productivity targets while exploring return-to-work and accommodation possibilities.

Qualifications

• 4-year college education or equivalent work/education experience.
• 2 years of disability claim management experience or other Group insurance experience.
• Ability to clearly communicate claim decisions verbally and in writing.
• Demonstrate independent problem solving and decision-making.
• Strong math aptitude and analytical skills.
• Familiarity with candidate regulatory and compliance standards.

Responsibilities

• Proactively outreach to obtain information from claimants, managers, physicians, HR, Payroll, or other sources.
• Communicate claim status and decisions via telephone and in writing.
• Initiate communications to claimant, physician, and plan holder to obtain information, assess, and initial claim decision.
• Prioritize and review new claims to meet productivity requirements and fast-track deadlines.
• Analyze claim information to determine coverage and benefit eligibility; draft adverse determinations if applicable.
• Determine disability by comparing functionality with job; set up claim for initial benefit approval with physician statements and records.
• Identify return-to-work opportunities and accommodations when applicable.
• Utilize claim management resources to return claimants to active work status.
• Assess offsets and recalculate benefits for over/underpayments.

Skills

Communication

Math aptitude

Analytical skills

Multitasking

Decision making

Education

4-year college education or equivalent work/education experience

Job description

Alight Solutions is seeking a temporary Disability Case Manager in the United States (Florida) to administer and manage assigned Group Disability claims in compliance with plan provisions and regulations. You will collaborate with STD, LTD, and Risk Management resources to support claim outcomes.

Responsibilities include proactive outreach, communicating decisions, and reviewing claims to meet productivity targets while exploring return-to-work and accommodation possibilities.