Disability Benefits Specialist

Location

Cleveland, OH 44144, USA
On-site; must reside within 50-mile radius of Brooklyn, Ohio office.

Prepares and establishes new claims files from incoming mail, verifies eligibility, enters claim data into the system, and manages mail and documentation for life and disability benefit claims. Works 5 days a week on-site at Brooklyn, Ohio office.

• Open, sort, and distribute mail; maintain filing system; determine status of new or continuing claims; set up claims files in the system for all life and disability benefit types and distribute work accordingly.
• New Claims
  • Determine eligibility using CMS claims and leave administration systems.
  • Set up all claims in the system with correct benefit schedules, plans, taxation, and interest indicators.
  • Set up ACH information.
  • Prepare a new Short‑Term Disability claim file with all relevant documents for the assigned analyst.
  • Complete claims system setup, document scanning, and worksheets.
• Continuing Claims
  • Identify appropriate analyst and claim type.
  • For life claim: scan documents into claims system and retain original documents.
  • For Short‑Term Disability: collect the file and deliver to the appropriate analyst.
• Manage the department's email inbox, fax, and incoming customer phone calls from the toll‑free number. Respond to routine customer phone inquiries and emails in the shared department mail queue and route them to the appropriate individual or area within the organization.
• Perform department administrative duties that may include departmental scanning projects, ordering supplies and purchase requests, check handling, and preparing and mailing monthly, quarterly and annual statements.
• Perform other duties as assigned.

• Bachelor's degree in Business, Healthcare Administration, or related field preferred; equivalent education and experience substitute for a degree.
• 1‑2 years experience with disability and/or life claims processing/customer service, preferably in group insurance, or equivalent relevant experience.

• Basic Microsoft Office and claims processing/billing/customer service applications and document storage/workflow (OnBase) application skills.
• Knowledge of standard office procedures and equipment (multifunction copier/printer/scanner, conference phone, etc.).
• Basic knowledge of life and disability products/services.
• Basic knowledge of regulations and Company policies related to leaves of absence, disability, workers compensation, etc.
• Basic knowledge of Family and Medical Leave Act (FMLA) and Americans with Disabilities Act (ADA).

• Improved technology: laptop, monitors, keyboard, mouse, headset.
• On‑site fitness centers or gym membership reimbursement; on‑site cafeteria at Brooklyn, OH headquarters.
• Employee bonus program.
• 401(k) with company match up to 4% and additional company contribution.
• Health Savings Account with company matching contribution.
• Excellent medical, dental, vision, life and disability insurance.
• Employee Assistance Program including counseling, coaching, and self‑help resources.
• Company holidays and up to 16 PTO days during the first year, with carry‑over option.
• Eligible parental leave after 120 days of service.
• Career development programs and tuition reimbursement up to $5,250 per year.
• Diverse, inclusive culture with Business Resource Groups.

Pre‑employment substance abuse and nicotine testing is performed.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.