Senior LTD Claims Specialist: Expert & Empathetic

Pacific Life; Tennessee; Hybrid; USD 69,000 - 85,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Wellbeing Reimbursement Account

Paid Time Off

Parental Leave

401(k) with company match

Job summary

Pacific Life is seeking a Sr Long Term Disability Claims Specialist to join our Work Force Benefits division in Tennessee. You will manage a diverse LTD caseload from intake through resolution, applying policy provisions with sound judgment and empathy, ensuring timely and accurate decisions.

You will collaborate with clinical and vocational partners to develop RTW strategies, interpret ERISA requirements, and maintain thorough documentation.

Qualifications

• Bachelor's degree or equivalent work experience.
• 5+ years of Long Term Disability claims experience.
• Ability to interpret ERISA and related regulations.
• Strong communication with claimants, employers, and internal partners.

Responsibilities

• Manage a diverse and often complex caseload of LTD claims from initial intake through resolution, ensuring timely, fair, and accurate decisions using sound judgment and adherence to policy provisions.
• Collaborate with clinical and vocational partners to develop effective RTW strategies and determine appropriate benefit eligibility and durations.
• Serve as a subject matter expert on LTD claim practices, consulting on best practices and contributing to the design and refinement of internal procedures, workflows, and system requirements.
• Leverage a deep understanding of disability contract provisions, exclusions, riders, waivers, and applicable regulatory and statutory requirements (e.g., FMLA, ERISA, HIPAA).
• Ensure detailed and accurate documentation of all decisions and interactions, and communicate clearly with claimants, employers, and internal stakeholders.

Skills

Strong communication

Empathy in claimant interactions

Analytical thinking

Independent caseload management

Regulatory knowledge

Education

Bachelor's degree or equivalent work experience

Job description

Pacific Life is seeking a Sr Long Term Disability Claims Specialist to join our Work Force Benefits division in Tennessee. You will manage a diverse LTD caseload from intake through resolution, applying policy provisions with sound judgment and empathy, ensuring timely and accurate decisions.

You will collaborate with clinical and vocational partners to develop RTW strategies, interpret ERISA requirements, and maintain thorough documentation.