Claims Specialist (Leave & Disability)

TL;DR

Claims Specialist (Leave & Disability): Administer Short Term Disability claims and Family Medical Leave according to policy provisions with an accent on eligibility analysis and end-to-end case management. Focus on evaluating medical documentation, utilizing clinical resources, and ensuring regulatory compliance while delivering empathetic customer service.

Location: Minneapolis, MN

Salary: $44,820 - $56,030 USD

Company

hirify.global fights for financial opportunities through retirement, investment, and insurance services with an inclusive culture.

What you will do

• Analyze FMLA, company leave policies, and short-term disability benefits to determine eligibility.
• Manage end-to-end claim experience and assigned work queues within SLAs.
• Evaluate medical documentation and utilize clinical/vocational resources for claim strategies.
• Build relationships with internal/external stakeholders and document decisions clearly.
• Communicate claim decisions and benefits professionally with empathy via phone and writing.
• Obtain necessary medical documentation from providers for adjudication.

Requirements

• 1-2 years of experience in STD, FMLA, or unpaid leave claims management.
• Strong decision-making, critical thinking, and medical/vocational management skills.
• Excellent customer service, interpersonal, written, and verbal communication abilities.
• Proficiency in Microsoft Office 365, including Outlook.
• High attention to detail, ability to prioritize tasks in fast-paced environment, and collaborative mindset.

Culture & Benefits

• Health, dental, vision, and life insurance plans.
• 401(k) with up to 6% company match and employer-paid Voya Retirement Plan (4%).
• Tuition reimbursement up to $5,250/year.
• Paid time off: 20 days PTO, nine company holidays, flexible Diversity Celebration Day.
• 40 hours paid volunteer time per year.