STAT/PFL Claims Specialist

Lincoln Financial; Lansing (MI); Remote; USD 45,000 - 60,000; Full time

Job summary

A financial services company seeks a remote STAT / PFL Claims Specialist responsible for managing claim interviews and determinations. The ideal candidate has a high school diploma and 1-2 years of relevant experience, with strong communication and organizational skills. This role offers training and the opportunity for career advancement within a supportive environment.

Benefits

Clearly defined career tracks

Leadership development and virtual training

PTO/parental leave

Competitive 401K and employee benefits

Qualifications

• 1-2 years of experience in claims, leaves or customer service.
• Ability to multi-task in a fast-paced environment.

Responsibilities

• Conduct initial and ongoing interviews with claimants.
• Review complex medical records and make claim determinations.
• Provide exceptional customer service and recognize areas of opportunity.

Skills

Strong written and verbal communication skills

Excellent organization skills

Strong mathematical skills for payment calculations

Education

High School diploma or GED

Job description

Overview

Alternate Locations: Work from Home; Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Radnor, PA (Pennsylvania)

Work Arrangement: Remote: Work at home employee residing outside of a commutable distance to an office location.

Relocation assistance: is not available for this opportunity.

Requisition #: 75244

The Role at a Glance

We are excited to bring on highly motivated STAT / PFL Claims Specialists to staff our ever-growing claims organization.

As a STAT / PFL Claims Specialist, you will be responsible for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You’ll complete a thorough training to develop new skills and give you the confidence you need to be successful in your new role. If you enjoy working in a fast-paced team environment from the comfort of your own home, then please read on!

What you'll be doing

• Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding the Short Term Disability claim.
• Collaborating with fellow case managers, nurse case managers and consulting physicians to make appropriate and timely claim determinations.
• Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning
• Completing accurate financial calculations consistent with company and state guidelines.
• Providing exceptional customer service and proactively recognizing customer needs and areas of opportunity.

What we’re looking for

Must haves:

• High School diploma or GED
• 1-2 years of experience in claims, leaves or customer service
• Strong written and verbal communication skills
• Excellent organization skills with the ability to multi-task

Nice to haves:

• Experience with disability and/or absence management
• Strong mathematical skills for payment calculations

Application Deadline

Applications for this position will be accepted through October 12, 2025 subject to earlier closure due to applicant volume.

What’s it like to work here?

At Lincoln Financial, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.

What’s in it for you

• Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes
• Leadership development and virtual training opportunities
• PTO/parental leave
• Competitive 401K and employee benefits
• Free financial counseling, health coaching and employee assistance program
• Tuition assistance program
• Work arrangements that work for you
• Effective productivity/technology tools and training

About The Company

Lincoln Financial (NYSE: LNC) helps people to confidently plan for their version of a successful future. We focus on identifying a clear path to financial security, with products including annuities, life insurance, group protection, and retirement plan services.

With our 120-year track record of expertise and integrity, millions of customers trust our solutions and service to help put their goals in reach.

Lincoln Financial Distributors, a broker-dealer, is the wholesale distribution organization of Lincoln Financial. Lincoln Financial is the marketing name for Lincoln Financial Corporation and its affiliates including The Lincoln National Life Insurance Company, Fort Wayne, IN, and Lincoln Life & Annuity Company of New York, Syracuse, NY. Lincoln Financial affiliates, their distributors, and their respective employees, representatives and/or insurance agents do not provide tax, accounting or legal advice.

Be Aware of Fraudulent Recruiting Activities

If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters.

Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at [e-mail] if you encounter a recruiter or see a job opportunity that seems suspicious.

Additional Information

This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.

Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial are considered property of Lincoln Financial and are not subject to payment of agency fees.

Lincoln Financial is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex, age, national origin or disability. Opportunities throughout Lincoln are available to employees and applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

This Employer Participates in E-Verify. See the E-Verify notices.

Este Empleador Participa en E-Verify. Ver el E-Verify avisos.

Lincoln Financial Group is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin or disability, sexual orientation, gender identity and expression. We have a drug free work environment and we perform pre-employment substance abuse testing.

This description may be adjusted as needed. Please note that there is no explicit expiry in the text; however, if the role is no longer accepting applications the IsExpired flag should be set accordingly in future processing.