Full Job Description
As an Advanced Disability Claims Analyst, you will play a critical role in delivering fair, timely, and accurate disability and life insurance claim determinations. You will manage complex claims, influence process improvements, provide subject matter expertise, and build trusted relationships with clients, advisors, attorneys, and regulators. This role offers opportunities to lead initiatives, mentor peers, and contribute to operational excellence while protecting client interests and managing risk.
Responsibilities
• Adjudicate disability and accelerated benefit insurance claims, determine eligibility, benefits, duration, and payment amounts while serving as the primary claim contact
• Request, evaluate, and interpret medical, financial, occupational, and investigative information to support claim decisions
• Coordinate investigations, litigation management activities, and referrals to internal specialists and external vendors when appropriate
• Conduct secondary reviews, support complex claim resolution, and provide coaching and guidance to team members
• Manage stakeholder relationships through proactive communication with clients, advisors, attorneys, regulators, and business partners
• Identify claim risks, ensure compliance with regulatory and legal requirements, and contribute to process improvement initiatives
Qualifications
• 5-7 years of long-term disability insurance claims experience, including complex claims analysis and adjudication
• Strong knowledge of disability insurance contracts, policy provisions, insurance regulations, and claim handling practices
• Bachelor's degree or equivalent combination of education and relevant experience
• Understanding of medical terminology, medical management practices, and financial claim assessment
• Strong analytical, critical thinking, investigative, and problem-solving skills
• Excellent written, verbal, and presentation communication skills
• Ability to collaborate across teams, influence stakeholders, and mentor peers
• Experience leading process optimization, continuous improvement, or project initiatives preferred
U.S. Work Authorization & Sponsorship
Applicants must have a valid work authorization that does not now, or in the future, require visa sponsorship for employment in the United States (e.g., H-1B, F-1 CPT, F-1 OPT, TN).
In-Office Collaboration
We are a client-centric, relationship-based business. Working together, in-person, is foundational to how we achieve results. By fostering a culture of face-to-face collaboration, idea sharing, productivity and personal connection, we deliver for our stakeholders. Our employees work in the office at least four (4) days per week, with flexibility to work from home one (1) day per week.
Base Pay Salary
The estimated base salary for this role is $71,300 - $98,100 / year. We have a pay-for-performance compensation philosophy. Your initial total compensation may vary based on job-related knowledge, skills, experience, and geographical work location. In addition, most of our roles are eligible for variable pay in the form of bonus, commissions, and/or long-term incentives depending on the role. We also have a competitive and comprehensive benefits program that supports all aspects of your health and well-being, including but not limited to vacation time, sick time, 401(k), and health, dental and life insurances.
Full-Time/Part-Time
Full time
Exempt/Non-Exempt
Exempt
Job Family Group
Business Support & Operations
Line of Business
INSUR Insurance
