Sr. Short Term Disability Specialist

Position: Sr. Short Term Disability Specialist-1
Location: Northern

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* Job Description:

**** Job Description
** Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better.

Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own.
We’re actively seeking a talented Senior Claims Specialist
- Short Term Disability join our Workforce Benefits Team (remote) in Chattanooga, TN.
As a Senior Claims Specialist
- Short Term Disability, you’ll move Pacific Life, and your career, forward by leading the end-to-end adjudication of complex Short Term Disability claims, partnering closely with clinical and vocational resources to support claim decision-making and help employees in their return-to-work (RTW) journey. You will play an instrumental part in developing and refining claims processes, ensuring compliance with evolving regulations, and helping deliver a best-in-class, empathetic claims experience.

You will fill an existing role that sits on a team in the Workforce Benefits Division.
You'll play an instrumental part in developing and refining claims processes, ensuring compliance with evolving regulations, and helping deliver a best-in-class, empathetic claims experience. This position combines hands-on case management with leadership and mentorship responsibilities. As a trusted resource and role model, you’ll elevate team performance, ensure consistency in service delivery, and uphold Pacific Life’s core values of integrity, innovation, and accountability.

** How You’ll Help Move Us Forward
*** Manage a diverse and often complex caseload of STD (Short Term Disability) claims from initial intake through resolution, ensuring timely, fair, and accurate decisions using sound judgment and adherence to policy provisions.
* Collaborate with clinical and vocational partners to develop effective RTW strategies and determine appropriate benefit eligibility and durations.
* Serve as a subject matter expert on STD claim practices, consulting on best practices and contributing to the design and refinement of internal procedures, workflows, and system requirements.
* Leverage a deep understanding of disability contract provisions, exclusions, riders, waivers, and applicable regulatory and statutory requirements (e.g., FMLA, ERISA, HIPAA).
* Ensure detailed and accurate documentation of all decisions and interactions, and communicate clearly with claimants, employers, and internal stakeholders.
* Mentor and support onboarding of new team members; share expertise and foster knowledge growth within the team.
* Collaborate cross-functionally with Compliance, Legal, Intake/Admin, Clinical and Vocational Services, and other business units to deliver a coordinated and compliant claims experience.
* Proactively identify process gaps or opportunities and contribute to continuous improvement efforts and enterprise initiatives.
* Demonstrate agility in adapting to changing priorities, business needs, and regulatory requirements.
* Maintain a high level of confidentiality, professionalism, and integrity in all claim-related activities.
** The Experience You Bring
*** College degree or equivalent experience preferred.
* Minimum 3 years of experience handling Short Term Disability claims
* Strong understanding of Short term Disability claim adjudication and relevant federal/state regulations (e.g., FMLA, ERISA, HIPAA, ADA).
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