Senior LTD Claims Strategist

Pacific Life; Omaha (NE); On-site; USD 73,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Wellbeing reimbursement

Paid time off

Parental leave

Adoption assistance

401k with company match

Job summary

Pacific Life is seeking an experienced LTD Claims Specialist to manage complex LTD cases from intake to resolution. You will collaborate with clinical and vocational partners to drive effective RTW strategies and eligibility determinations.

The role requires deep knowledge of LTD adjudication and related regulations, plus the ability to document decisions clearly and mentor teammates. A collaborative, compliant approach is essential.

Qualifications

• College degree or equivalent experience preferred.
• Minimum 5 years handling Long Term Disability claims; STDisability/absence mgmt experience a plus.
• Strong understanding of LTD claim adjudication and related regs (FMLA, ERISA, HIPAA, ADA).
• Experience partnering with clinical/vocational pros for RTW efforts.

Responsibilities

• Manage a diverse caseload of LTD claims from intake to resolution.
• Collaborate with clinical/vocational partners for RTW strategies and eligibility.
• Serve as subject matter expert on LTD practices and internal process design.
• Understand disability contract provisions, riders, and regulatory requirements.
• Ensure detailed documentation and clear communication with claimants and employers.
• Mentor onboarding of new team members and share expertise.

Skills

LTD claims exp

Analytical skills

Communication skills

Mentoring

Organization

Education

College degree or equivalent

Tools

Claims systems

Workflow tools

Job description

Pacific Life is seeking an experienced LTD Claims Specialist to manage complex LTD cases from intake to resolution. You will collaborate with clinical and vocational partners to drive effective RTW strategies and eligibility determinations.

The role requires deep knowledge of LTD adjudication and related regulations, plus the ability to document decisions clearly and mentor teammates. A collaborative, compliant approach is essential.