Senior Leave & Disability Claims Specialist

Unum; United States; Remote; USD 53,000 - 101,000; Full time

Benefits offered by this job

Healthcare benefits

Paid time off

401(k) retirement plan with company-mâ

Volunteer time

Job summary

Unum is seeking candidates for an advanced technical role focused on thorough adjudication of complex short-term disability claims and FMLA/state leave expertise. The position emphasizes excellent customer service and collaboration with employees, employers, and health care providers.

Ideal candidates have a 4-year degree (or equivalent), 3+ years in disability/leave roles, and a strong ability to navigate complex policy provisions while delivering timely, accurate outcomes.

Qualifications

• 4-year degree preferred or equivalent work experience.
• 3+ years in the Leave or Disability Benefit Specialist role.
• Mastery of responsibilities and specifications of the Leave or Disability Benefit Specialist roles.
• Medical background or disability/leave management experience preferred.
• Ability to exercise independent judgment in complex claim adjudication.
• Progressive skill growth and independent claim handling.
• Experience developing return-to-work strategies.
• Strong interaction with claimants, employers, medical resources, attorneys, brokers and sales reps.
• High service and quality orientation with analytical problem-solving abilities.
• Compliance with Talent Management standards.

Responsibilities

• Agree timely adjudication of complex STD claims and processing leaves.
• Apply contractual knowledge to determine eligibility and liability.
• Communicate rationale for claims actions clearly and timely.
• Coordinate with nurses, physicians, and vocational resources as needed.
• Ensure timely referrals to LTD and medical assessments.
• Provide coverage for daily tasks and respond to inquiries per guidelines.

Skills

Attention to detail

Customer service

Analytical thinking

Communication

Education

Bachelor’s degree or equivalent

Job description

Unum is seeking candidates for an advanced technical role focused on thorough adjudication of complex short-term disability claims and FMLA/state leave expertise. The position emphasizes excellent customer service and collaboration with employees, employers, and health care providers.

Ideal candidates have a 4-year degree (or equivalent), 3+ years in disability/leave roles, and a strong ability to navigate complex policy provisions while delivering timely, accurate outcomes.