Senior LTD Claims Examiner - Remote

Reliance Matrix; Phoenix (AZ); Hybrid; USD 64,000 - 79,000; Full time

Benefits offered by this job

Annual performance bonus

401(k) company match

Medical plans with prescription drug覆盖

Dental and vision coverage

Life & Disability Insurance

Paid Parental Leave & Adoption Support

Hybrid work arrangements

Tuition Reimbursement & Continuing Pro

Job summary

Reliance Matrix is seeking a dedicated claims examiner to evaluate long-term disability cases in a dynamic environment in Phoenix, AZ. The role requires analyzing information, applying policy terms, and maintaining data accuracy while delivering respectful, timely service.

The position emphasizes complex adjudication, data integrity, and collaboration within a team, with a base pay range reflected in the posting and a focus on quality and regulatory compliance.

Qualifications

• Long-term disability claims processing experience required.
• Advanced understanding of claim management techniques and critical thinking.
• Experience in confidential/protected identification environments.
• Thorough knowledge of medical terminology.
• Excellent math and calculation skills.
• Proven ability to work in a high-visibility, public-oriented environment.

Responsibilities

• Reviews and investigates disability claims via telephone and written contact to gather data.
• Adjudicates claims fairly according to contract policies and regulations, meeting productivity and quality standards.
• Uses medical and risk resources, referring to appropriate levels and transferring claims timely.
• Investigates pre-existing conditions or contestable claims as applicable.
• Calculates benefit payments including partial, survivor, and residual benefits.
• Maintains on-line and paper claim data and provides prompt customer service.

Skills

Long-term disability claims processing

Claim management techniques

Critical thinking

Medical terminology

Math and calculation skills

High-visibility environment experience

Education

High School Diploma or GED

Associate degree in Business/Finance/Social Work/Human Resources

LOMA Level I designation

Job description

Reliance Matrix is seeking a dedicated claims examiner to evaluate long-term disability cases in a dynamic environment in Phoenix, AZ. The role requires analyzing information, applying policy terms, and maintaining data accuracy while delivering respectful, timely service.

The position emphasizes complex adjudication, data integrity, and collaboration within a team, with a base pay range reflected in the posting and a focus on quality and regulatory compliance.