Disability Claims & Underwriting Specialist

Job not on LinkedIn

🔥 0 minutes ago

🌐 United States, Australia, +4 more countries – Remote

🇺🇸 United States – Remote 🇦🇺 Australia – Remote 🇨🇦 Canada – Remote 🇳🇿 New Zealand – Remote 🇬🇧 United Kingdom – Remote 🇩🇪 Germany – Remote

💵 $80 / hour

⏳ Contract/Temporary

🟢 Junior

🟡 Mid-level

📋 Underwriter

🚫👨‍🎓 No degree required

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Weekday (YC W21)

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2021

💼 Consulting

👥 HR Tech

☁️ SaaS

Consulting • HR Tech • SaaS

Weekday is a modern recruitment platform that combines AI technologies with a vast database of potential candidates, aiming to streamline the hiring process for companies in India. They offer various services, including a proactive outreach approach that helps employers connect with top talent, as well as tools for candidates to easily apply for jobs. Weekday's emphasis on candidate engagement through multiple channels, including email, WhatsApp, and phone calls, sets it apart in the competitive landscape of recruitment agencies.

📋 Description

• Design realistic scenarios involving short- and long-term disability claims, elimination periods, own-occupation and any-occupation definitions, residual and partial disability, offsets, recurrent disability, and claim duration management • Create claim determinations, benefit calculations, medical and vocational evidence summaries, transferable-skills analyses, return-to-work plans, and appeal decisions • Write “golden” reference responses at experienced disability-professional quality • Grade AI-generated responses against structured rubrics for definitional accuracy, evidentiary support, benefit-calculation correctness, and procedural fairness • Identify misapplied disability definitions, unsupported functional conclusions, missed offsets, incorrect benefit math, and failures to document the administrative record • Provide written feedback used by the research team to improve model behavior • Participate in onboarding office hours and calibration sessions

🎯 Requirements

• 2+ years of professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management • Experience with at least one program type: group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premium • Understanding of contract definitions, elimination periods, offsets, pre-existing-condition provisions, and maximum benefit periods • Ability to weigh medical, occupational, and financial evidence and articulate a defensible determination with documented rationale • Excellent written analysis, balanced judgment, and high attention to detail • Ability to distinguish claim adjudication from treating-provider clinical decisions and formal legal advice • CRC, CDMS, CCM, CPDM, RN, or comparable clinical or vocational credential • Experience with ERISA administrative records, appeals, or litigation support • Individual disability income underwriting, including occupation class and financial underwriting • Social Security, workers compensation, or other-income offset coordination experience • Experience with FMLA, state leave programs, or ADA accommodation interaction

🏖️ Benefits

• Minimum 20 hours per week (ideally 40+) • Role starts immediately • Reasonable accommodations upon request