Responsible for conducting thorough reviews of denied claims, the full-time virtual Disability Appeal Specialist will assess claim accuracy, adhere to ERISA guidelines, and collaborate with the Appeal team to ensure timely decision-making.
Key Responsibilities Manage claim files and conduct comprehensive reviews considering contract provisions and clinical information Oversee caseload management across multiple systems to ensure timely decisions according to ERISA Create explicit and concise written correspondence for claimants and policyholders in a timely manner Required Qualifications 3-5 years of experience in Disability Claims, with a preference for appeal handling Strong prioritization and multi-tasking skills, with a keen attention to detail Ability to build and maintain strong relationships with team members and internal partners Experience utilizing AI in a professional setting Willingness to accept change and provide constructive feedback