Crawford & Company
Disability Benefit Specialist – Remote (Arizona)
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
Manage assigned caseload of disability claims for Short Term/Long Term Disability.
Communicate with claimants, employers, and medical professionals to gather eligibility information and authorise benefits.
Apply contractual provisions, case management resources and claim processes to ensure accurate eligibility and liability decisions.
Provide superior customer service by rendering benefit determinations within expected timeframes and responding promptly to inquiries.
Independently manage disability claims and apply clinical guidance for complex cases.
Verify ongoing disability and participate in claim reviews with specialized resources (nurses, physicians, vocational rehabilitation, etc.) to discuss return‑to‑work opportunities.
Use disability claim system to manage and authorise payment on claims while meeting service, timeframe and production standards.
Ensure a timely and coordinated transition of claims from Short Term to Long Term, providing a seamless experience for claimants.
Analyse claim activity and prepare reports for clients/carriers and management as needed.
Become familiar with specialised client instructions and performance guarantee standards; serve as a resource for trainees and claim processors.
Work effectively as part of a team.
Other duties as assigned.
Qualifications
Bachelor's degree or equivalent experience required.
Minimum 2+ years of STD/LTD claims adjudication.
Experience in TPA or self‑administration services desirable.
Experience with FMLA/state leave claims is a plus.
Aptitude for learning medical terminology and conditions, interpreting procedures and regulations.
Ability to work independently using various technical resources.
Computer proficiency (Excel, Word, web‑based systems).
Strong verbal and written communication skills.
Knowledge of ERISA regulations, required offsets and deductions, disability duration, and Social Security procedures.
Demonstrated ability to gather and analyse information, determine appropriate actions and implement them.
Strong problem‑solving skills.
Effective interpersonal skills dealing with external sources and all levels of employees.
About Us At Crawford, we empower employees to grow, act, and innovate. We take pride in providing compassionate, transparent solutions to our clients. As a global organization, we unite in purpose, vision, and values to serve a diverse community.
Benefits
Competitive pay and incentive plans that recognise performance excellence.
Benefit programmes that support financial, physical and mental wellness.
Training programmes that promote continuous learning and career progression.
Sustainability programmes that give back to the communities we serve.
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.
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Responsibilities
Manage assigned caseload of disability claims for Short Term/Long Term Disability.
Communicate with claimants, employers, and medical professionals to gather eligibility information and authorise benefits.
Apply contractual provisions, case management resources and claim processes to ensure accurate eligibility and liability decisions.
Provide superior customer service by rendering benefit determinations within expected timeframes and responding promptly to inquiries.
Independently manage disability claims and apply clinical guidance for complex cases.
Verify ongoing disability and participate in claim reviews with specialized resources (nurses, physicians, vocational rehabilitation, etc.) to discuss return‑to‑work opportunities.
Use disability claim system to manage and authorise payment on claims while meeting service, timeframe and production standards.
Ensure a timely and coordinated transition of claims from Short Term to Long Term, providing a seamless experience for claimants.
Analyse claim activity and prepare reports for clients/carriers and management as needed.
Become familiar with specialised client instructions and performance guarantee standards; serve as a resource for trainees and claim processors.
Work effectively as part of a team.
Other duties as assigned.
Qualifications
Bachelor's degree or equivalent experience required.
Minimum 2+ years of STD/LTD claims adjudication.
Experience in TPA or self‑administration services desirable.
Experience with FMLA/state leave claims is a plus.
Aptitude for learning medical terminology and conditions, interpreting procedures and regulations.
Ability to work independently using various technical resources.
Computer proficiency (Excel, Word, web‑based systems).
Strong verbal and written communication skills.
Knowledge of ERISA regulations, required offsets and deductions, disability duration, and Social Security procedures.
Demonstrated ability to gather and analyse information, determine appropriate actions and implement them.
Strong problem‑solving skills.
Effective interpersonal skills dealing with external sources and all levels of employees.
About Us At Crawford, we empower employees to grow, act, and innovate. We take pride in providing compassionate, transparent solutions to our clients. As a global organization, we unite in purpose, vision, and values to serve a diverse community.
Benefits
Competitive pay and incentive plans that recognise performance excellence.
Benefit programmes that support financial, physical and mental wellness.
Training programmes that promote continuous learning and career progression.
Sustainability programmes that give back to the communities we serve.
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.
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