Disability Claims Specialist: Return-to-Work & ADA Support

HR Solutions; Lancaster (Lancaster County); On-site; USD 65,000 - 90,000; Full time

Job summary

HR Solutions is hiring a Disability Claims Specialist to support our Leave Administration efforts. The role requires hands-on experience managing short-term disability claims, reviewing medical documentation, and determining functional limitations.

The candidate should have prior disability claims adjudication, request for additional information, and collaboration with managers on return-to-work or modified duty.

Qualifications

• Experience in short-term disability case management, reviewing medical notes, and approving/denying claims.
• Ability to request additional medical information and coordinate return-to-work or modified duty.
• Familiarity with ADA interactive processes and accommodation reviews.

Responsibilities

• Interpret medical notes and determine functional limitations.
• Identify insufficient documentation and seek clarifications from providers or employees.
• Communicate decisions clearly to employees and managers, including justification.
• Support the ADA process and accommodation determinations as needed.
• Use strong judgment to push back when documentation does not support a request.

Skills

Disability claims

Medical documentation review

ADA exposure

Strong judgment

Communication with providers

Job description

HR Solutions is hiring a Disability Claims Specialist to support our Leave Administration efforts. The role requires hands-on experience managing short-term disability claims, reviewing medical documentation, and determining functional limitations.

The candidate should have prior disability claims adjudication, request for additional information, and collaboration with managers on return-to-work or modified duty.