Claims Specialist – Leave & Disability

Job Overview

Claims Specialist – Guide claimants through their leave experience with empathy and clarity. Administer Short Term Disability claims and other leaves, ensuring high customer service standards while maintaining regulatory compliance.

• Analyze FMLA, company leave policies and short-term disability benefits to determine eligibility.
• Manage the end-to-end claim experience for the life of the claim.
• Evaluate medical documentation to ensure eligibility for benefits.
• Utilize clinical and vocational resources to assist with claim management strategies.
• Build and maintain strong relationships with internal and external stakeholders.
• Manage assigned work queues within defined service level agreements (SLAs).
• Document in a clear and concise manner to support claim decisions and articulate ongoing case management activities.

• Communicate clearly and professionally via phone and written correspondence.
• Explain claim decisions and entitled benefits in a professional manner displaying high empathy.
• Communicate with medical providers to obtain necessary documentation for claim adjudication.

• 1‑2 years of experience in STD, FMLA, or unpaid leave claims management.
• Strong decision‑making and critical‑thinking skills.
• Medical/vocational management experience.
• Excellent customer service and interpersonal abilities.
• Proficiency in Microsoft Office 365, including Outlook.
• Exceptional written and verbal communication skills.
• High attention to detail and accuracy.
• Ability to prioritize tasks and manage time effectively in a fast‑paced environment.
• Collaborative mindset with the ability to work cross‑functionally.

Annual base salary range: $44,820 – $56,030 USD. Additional incentive opportunities may apply.

• Health, dental, vision and life insurance plans.
• 401(k) savings plan with up to 6% company match.
• Employer‑paid retail cash balance retirement plan.
• Tuition reimbursement up to $5,250 per year.
• Paid time off: 20 days, nine company holidays, and a flexible Diversity Celebration Day.
• Paid volunteer time – 40 hours per calendar year.