Senior Short Term Disability Specialist

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🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $69.4k - $84.8k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Pacific Life

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1868

💸 Finance

🛡️ Insurance

Finance • Insurance • Retirement

Pacific Life is a financial services company that offers a wide range of retirement and life insurance solutions. It provides annuities, life insurance, and workforce benefits designed to help individuals and institutions secure their financial futures. With nearly 160 years of experience and a strong commitment to customer trust, Pacific Life focuses on delivering stability and protection for its clients' families, businesses, and future goals. The company is dedicated to creating meaningful future outcomes through corporate social responsibility and innovative products.

📋 Description

• Manage a diverse and complex caseload of Short Term Disability claims from initial intake through resolution • Make timely, fair, and accurate decisions in accordance with policy provisions • Collaborate with clinical and vocational partners to develop return-to-work strategies and determine benefit eligibility and durations • Serve as a subject matter expert on Short Term Disability claim practices • Consult on best practices and contribute to internal procedures, workflows, and system requirements • Apply knowledge of disability contract provisions, exclusions, riders, waivers, and regulatory/statutory requirements • Document decisions and interactions accurately and communicate with claimants, employers, and internal stakeholders • Mentor and support onboarding of new team members • Collaborate with Compliance, Legal, Intake/Admin, Clinical and Vocational Services, and other business units • Identify process gaps and contribute to continuous improvement and enterprise initiatives • Adapt to changing priorities, business needs, and regulatory requirements • Maintain confidentiality, professionalism, and integrity in claim-related activities

🎯 Requirements

• Minimum 3 years of experience handling Short Term Disability claims • Strong understanding of Short Term Disability claim adjudication and relevant federal/state regulations, including FMLA, ERISA, HIPAA, and ADA • Experience partnering with clinical/vocational professionals to support return-to-work efforts and complex decision-making • Effective verbal and written communication skills • Problem-solving and analytical skills • Ability to manage competing priorities • Ability to mentor peers and support a collaborative team environment • Proficiency with claims administration platforms and workflow/documentation tools • Ability to work independently and exercise sound judgment • Commitment to continuous learning and improvement • Strong time management skills and ability to thrive in a fast-paced, evolving environment • Experience supporting cross-functional or enterprise initiatives and change management efforts • College degree or equivalent experience preferred • Experience with Long Term Disability and/or absence management

🏖️ Benefits

• Medical, Dental, Vision • Wellbeing Reimbursement Account for the employee or eligible dependents • Paid Time Off • Holiday Schedules • Financial Planning Time Off • Paid Parental Leave • Adoption Assistance Program • Competitive 401k savings plan with company match • Additional 401k contribution regardless of participation • Flexible benefits that can be tailored to individual needs • Additional incentive pay eligibility