Short Term Disability Case Specialist

Equiliem; Wellesley (MA); Remote; USD 41,000 - 47,000; Full time

Benefits offered by this job

Medical Insurance

Vision & Dental Insurance

Life Insurance

Matching 401(k)

Commuter Benefits

Employee Discounts & Rewards

Payroll Payment Options

Job summary

Equiliem is seeking a Short Term Disability Case Specialist to work remotely within EST hours. You will review and adjudicate disability claims, determine eligibility, and communicate with claimants, employers, and medical professionals.

The role requires strong math, analytical skills, and attention to detail, with duties including documentation, strategy assessments, and adherence to laws and procedures.

Qualifications

• 1+ year in customer service or financial services.
• Strong math for claim computations.
• Judgment and decision-making in applying policy provisions.
• Ability to understand legal and medical terminology.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication.
• Strong organization and multitasking abilities.
• Customer-focused, solution-driven approach.
• Ability to work in fast-paced environments with autonomy.
• Proficiency with Outlook, Word, Excel and multiple applications.
• Discretion with confidential information.
• Reliable, predictable attendance.
• Ability to work remotely during EST hours.

Responsibilities

• Review short term disability claims and determine benefit approval, denial, or further review.
• Approve payments within authority and guidelines.
• Assess duration guidelines and clinical/vocational recommendations.
• Complete strategy assessments and ensure timely adjudication.
• Interpret policy provisions and apply standard claims practices.
• Obtain documentation to substantiate claims.
• Communicate with claimants, employers, physicians, and others by phone or other methods.
• Maintain accurate, confidential records.
• Support other claims staff and assist on special projects.
• Collaborate with team while working independently.
• Meet deadlines with accuracy.

Skills

Customer service

Financial services

Mathematical skills

Analytical thinking

Communication skills

Organization

Remote work

Education

Associate or bachelor's degree preferred

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Short Term Disability Case Specialist
Location: Remote - EST
Schedule/Shift: Monday-Friday, 8:30 AM-5:00 PM EST
Pay: $30.50 per hour
26-10786

Position Overview

The Short Term Disability Case Specialist manages routine disability claims and makes timely, accurate determinations regarding benefit eligibility and payment. This role reviews policy provisions, duration guidelines, clinical recommendations, and supporting documentation while communicating with claimants, employers, medical professionals, and other parties as needed. The position requires strong analytical and decision-making skills, attention to detail, confidentiality, and the ability to work independently in a fast-paced environment.

Job Responsibilities

• Review short term disability claims and make final determinations regarding benefit approval, denial, or further review.
• Approve claim payments within established authority and applicable guidelines.
• Review duration guidelines and recommendations from clinical or vocational resources to determine appropriate claim disposition.
• Complete strategy assessments and ensure claims are adjudicated accurately, efficiently, and within required timelines.
• Interpret policy provisions and apply consistent claims practices in accordance with applicable laws, regulations, and procedures.
• Obtain supporting documentation needed to substantiate disability claims.
• Communicate with claimants, employers, physicians, attorneys, and other resources by telephone and other appropriate methods.
• Maintain accurate documentation while handling confidential information.
• Provide support to other claims staff and participate in special projects or assignments as business needs require.
• Work independently while collaborating effectively with team members.
• Meet deadlines while maintaining a high level of accuracy and attention to detail.

Job Requirements

• 1+ year of customer service or financial services experience.
• Strong mathematical skills for calculations and claim payments.
• Strong judgment and decision-making skills when applying policy provisions.
• Ability to understand and interpret legal and medical terminology.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Strong organization, interpersonal, and multitasking skills.
• Strong client service orientation and solution-focused approach.
• Ability to work effectively in a fast-paced and demanding environment.
• Ability to work autonomously while maintaining effective team collaboration.
• Proficiency with Microsoft Outlook, Word, and Excel.
• Ability to learn and effectively use multiple computer applications.
• Ability to handle highly confidential information with discretion.
• Reliable and predictable attendance on a full-time basis.
• Ability to work remotely while maintaining required Eastern Time Zone hours.

Education

• Associate or bachelor's degree is preferred.

Work Experience

• 1+ year of customer service or financial services experience required.
• Short term disability or claims management experience preferred.

About Equiliem

Equiliem believes in empowering success. It's our job to cultivate relationships that connect people and employers in a way that is inclusive, intelligent, and allows both to thrive.

Across the U.S., leading companies in healthcare, government, engineering, manufacturing, professional services, and energy rely on us for their workforce solutions. Our recruiting and HR services include contract and direct hire staffing, Payrolling/EOR, Independent Contractor Compliance, and Managed Services.

For almost 30 years, we've helped shape our industry. Today, we continue to research, ask questions, and continuously enhance the candidate journey and client experience.

Benefits

We offer a comprehensive benefits package to our employees, which includes:

• Medical Insurance
• Vision & Dental Insurance
• Life Insurance
• Matching 401(k)
• Commuter Benefits
• Employee Discounts & Rewards
• Payroll Payment Options

Future Communication Consent

By applying, you are providing consent for Equiliem to engage with you via phone calls, AI-generated calls, AI-generated text messages, standard text messages, and/or emails to share job opportunities. Consistent with our Privacy Policy, information obtained will not be shared with third parties for marketing or promotional purposes. Message frequency may vary for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You may reply STOP to cancel or HELP for assistance.

EEO Employer

Equiliem is an equal opportunity employer. We do not discriminate or allow discrimination based on race, color, religion, creed, sex, age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Equiliem will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [emailprotected] or [phone].