Disability Claims Specialist: STD/LTD Expert

Crawford & Company; California (MO); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) Plan

Tuition Assistance

Paid Holidays

Job summary

Broadspire is seeking an experienced PMFL Adjuster or Case Manager to join the PMFL team. You will manage disability claims, communicate with claimants, employers, and medical professionals, and apply policy provisions to determine eligibility and benefits.

This role emphasizes customer service, timely determinations, and collaboration with nurses, physicians, and other resources to support return-to-work opportunities. A bachelor’s degree and 2+ years in STD/LTD claims are preferred.

Qualifications

• Bachelor's degree or equivalent experience required.
• 2+ years of STD/LTD claims adjudication
• Experience with FMLA/State leave claims is a plus
• Knowledge of ERISA regulations, required offsets and deductions, disability duration and Social Security procedures

Responsibilities

• Manages assigned caseload of disability claims for Short Term/Long Term Disability.
• Communicates with claimants, employers, and medical professionals to gather information on eligibility, benefit authorization, and ongoing management of STD or LTD benefits.
• Applies contractual provisions and claim processes to ensure eligibility and liability decisions.
• Provides superior customer service with timely benefit determinations and prompt inquiries responses.
• Independently manages disability claims and applies clinical guidance on complex claims.

Skills

STD/LTD claims adjudication

Education

Bachelor's degree or equivalent experience

Job description

Broadspire is seeking an experienced PMFL Adjuster or Case Manager to join the PMFL team. You will manage disability claims, communicate with claimants, employers, and medical professionals, and apply policy provisions to determine eligibility and benefits.

This role emphasizes customer service, timely determinations, and collaboration with nurses, physicians, and other resources to support return-to-work opportunities. A bachelor’s degree and 2+ years in STD/LTD claims are preferred.