🌟 Disability Benefit Specialist – Remote 🌟
Make an impact from anywhere—and love what you do!
What’s in it for you?
✅ Work remotely—your office, your vibe!
✅ Help people when they need it most.
✅ Be part of a team that values compassion, clarity, and results.
Join us as a Disability Benefit Specialist and play a key role in evaluating
claims, determining benefit eligibility, and guiding employees toward successful
return-to-work strategies. Use your expertise in disability policies and
medical/vocational issues to deliver clear, timely decisions and exceptional
support.
RESPONSIBILITIES
Manages assigned caseload of disability claims for Short Term/Long Term
Disability.
Communicates with claimants, employers, and various medical professionals to
gather information regarding eligibility, benefit authorization, and ongoing
management of STD or LTD benefits.
Applies the appropriate contractual provisions; case management resources;
and claim processes to ensure eligibility requirements and liability
decisions are accurate.
Provides superior customer service by rendering benefit determinations within
expected timeframes and quickly responding to all inquiries.
Demonstrates ability to independently manage disability claim and apply
clinical guidance as provided on more complex claims.
Verifies on-going disability and participates in claim reviews with
specialized resources including nurses, physicians, vocational
rehabilitation, etc. to discuss return to work opportunities as appropriate.
Uses disability claim system to manage and authorize payment on claims while
meeting all service, timeframe, and productions standards
Ensures a timely and appropriately coordinated transition of claims from STD
to LTD, providing a well -managed and seamless claims experience to
claimants.
Analyzes claims activity and prepares reports for clients/carriers and
management as needed
Becomes familiar with specialized client instructions and performance
guarantee standards for any assigned clients. Serves as a resource for
trainees and Claims processors as needed.
Effectively works together in a team setting.
Other duties as assigned.
QUALIFICATIONS
Bachelor's degree or equivalent experience required.
2 + years of STD/LTD claims adjudication
Experienced in the TPA or self-administration services is desired
Experience with FMLA/State leave claims is a plus
Aptitude for learning medical terminology and conditions, as well as
interpreting procedures and regulations
Ability to work independently while assimilating various technical resources
Computer knowledge in excel, word, web based systems, etc
Good verbal and written communication skills
Knowledge of ERISA regulations, required offsets and deductions, disability
duration and Social Security procedures
Demonstrated ability to gather and analyze information, determine a course of
action and implement the selected course of action.
Strong ability to identify, analyze and solve problems.
Effective interpersonal skills capable of dealing with external sources and
all levels of employees.
#LI-DV1
Why Crawford?
Because a claim is more than a number - it’s a person, a child, a friend. It’s
anyone who looks to Crawford on their worst days. And by helping to restore
their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to
innovate. Our industry-leading team pioneers new solutions for the industries
and customers we serve. We’re looking for the next generation of leaders to take
this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting
the global fabric of the audience we serve. Though our reach is vast, we proudly
operate as One Crawford: united in purpose, vision and values. Learn more at
www.crawco.com [https://www.crawco.com/].
When you accept a job with Crawford, you become a part of the One Crawford
family. And as part of the One Crawford family, we offer a comprehensive Total
Rewards package to our employees to assist with their financial,
health/wellness, continuing education/training and other needs:
Competitive base pay
> - The Pay Range/Salary represents the anticipated low and high pay that may be
> offered for this position. To determine the actual offer, Crawford considers a
> wide range of factors including the candidate’s previous experience and
> education, market rates, minimum pay requirements for the applicable
> jurisdiction, business segment, supply/demand, and scheduled hours.
Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
We offer a well-rounded benefits package that encourages wellness and helps
our employees to be an educated healthcare consumer. The core benefits
offered include:
> - Medical, Dental and Vision Plans
> - Prescription Drugs
> - HSA, HRA, and FSA Accounts
> - Paid Holidays, Vacation and Sick Leave
> - 401(k) Retirement Plan
> - Tuition Assistance
> - Paid Parental Leave
> - Supplemental Health Benefits
> Other Benefits currently available at no cost include:
> - Enhanced Mental Health Support
> - Virtual Physical Therapy
> - Caregiving Services
> - Life Assistance Program
> The above information highlights some of the benefits currently available to
> eligible full-time employees.
Training programs that promote continuous learning and career progression
while enhancing job performance.
Sustainability programs that give back to the communities in which we live
and work.
A culture of respect, collaboration, entrepreneurial spirit and inclusion.
Crawford & Company participates in E-Verify and is an Equal Opportunity
Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance
from search firms for this employment opportunity. All resumes submitted by
search firms to any employee at Crawford via-email, the Internet or in any form
and/or method without a valid written Statement of Work in place for this
position from Crawford HR/Recruitment will be deemed the sole property of
Crawford. No fee will be paid in the event the candidate is hired by Crawford as
a result of the referral or through other means.