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Senior Long Term Disability Claims Specialist

Pacific Life Insurance Co

Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. We're actively seeking a talented Senior Long Term Disability Claims Specialist to join our Workforce Benefits Division. Senior Long Term Disability Claims Specialist , you will provide best practices and innovative solutions for end-to-end claims administration for our Long Term Disability product line. Incumbents demonstrate an understanding of regulatory and compliance landscape related to supplemental health benefits and partners with Compliance, Legal and Support Services to resolve issues in a timely manner. The ideal candidate combines strong technical expertise, regulatory knowledge, critical thinking, and compassion while helping customers navigate important life events. How you'll help move us forward : Manage a diverse and often complex caseload of LTD claims from initial intake through resolution, ensuring timely, fair, and accurate decisions using sound judgment and adherence to policy provisions. Serve as a subject matter expert on LTD claim practices, consulting on best practices and contributing to the design and refinement of internal procedures, workflows, and system requirements. ·Leverage a deep understanding of disability contract provisions, exclusions, riders, waivers, and applicable regulatory and statutory requirements (e.g., Collaborate cross-functionally with Compliance, Legal, Intake/Admin, Clinical and Vocational Services, and other business units to deliver a coordinated and compliant claims experience. Demonstrate agility in adapting to changing priorities, business needs, and regulatory requirements. Maintain a high level of confidentiality, professionalism, and integrity in all claim-related activities. Minimum 5 years of experience handling Long Term Disability claims; experience with Short Term Disability and/or absence management is a plus. Strong understanding of Long Term Disability claim adjudication and relevant federal/state regulations (e.g., Demonstrated problem-solving and analytical skills with a customer-first mindset. Proficiency with claims administration platforms and workflow/documentation tools. Experience with Short Term Disability and or absence management is a plus service mindset , with a genuine commitment to supporting claimants and employer customers through what can be a difficult and uncertain time. technical expertise and sound claim decisions with empathy, responsiveness, and clear communication . complex LTD claims who follows through and helps solve problems. continuous-improvement mindset , identifying opportunities to make processes more efficient while improving the customer and claimant experience. help shape how we work and the level of service we provide , not simply follow an established process. #The base pay range noted represents the company’s good faith minimum and maximum range for this role at the time of posting. Your wellbeing is important to Pacific Life, and we’re committed to providing you with flexible benefits that you can tailor to meet your needs. Whether you are focusing on your physical, financial, emotional, or social wellbeing, we’ve got you covered. Prioritization of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents Paid Time Off, Holiday Schedules, and Financial Planning Time Off We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. Pacific Life Insurance Company is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Pacific Life Insurance Company.

Vacancy posted 3 days ago
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