Remote Disability Case Manager — Claims & Return-to-Work

Alight Solutions; New Jersey; Hybrid; USD 65,000 - 85,000; Full time

Job summary

Alight Solutions is seeking a Disability Case Manager to administer and manage assigned Group Short Term Disability claims, following plan provisions and regulatory guidelines. The role collaborates with STD, LTD, and Risk Management teams to ensure accurate processing.

The position requires independent problem solving, clear communication, and strong analytical skills, with an emphasis on compliance and efficiency. Background checks and travel to offices may be required.

Qualifications

• Demonstrate independent problem solving and decision-making ability.
• Able to clearly communicate claim decisions and contract language verbally and in written correspondence.
• Demonstrate math aptitude, ability to multitask, and analytical skills.

Responsibilities

• Using most efficient and effective means of proactive outreach to obtain and/or dispense information from claimants, HR, physicians, and other sources.
• Communicating claim status and decisions via telephone and in writing.
• Initiating communications to claimant, physician, and plan holder to obtain information and make initial claim decisions.
• Prioritizing and reviewing new claims to adhere to productivity standards and fast track processing.
• Investigating and analyzing claim information to determine coverage and benefit eligibility.

Skills

Independent problem solving

Decision making

Verbal & written communication

Math aptitude

Analytical skills

Education

Bachelor’s degree or equivalent

Job description

Alight Solutions is seeking a Disability Case Manager to administer and manage assigned Group Short Term Disability claims, following plan provisions and regulatory guidelines. The role collaborates with STD, LTD, and Risk Management teams to ensure accurate processing.

The position requires independent problem solving, clear communication, and strong analytical skills, with an emphasis on compliance and efficiency. Background checks and travel to offices may be required.