Information Technology_USA - USA_Analyst

Short Term Disability Case Associate

Location: Cincinnati, OH (Hybrid/Remote)

Duration: 6 months

Manage end-to-end short term disability claims process

Act as mayor

Evaluate medical and claim documentation for eligibility decisions

Ensure timely adjudication and benefit payments

Collaborate with clinical and vocational teams for case assessment

Handle claim escalations and workload prioritization

Support return-to-work planning and outcomes

Maintain compliance with disability plans and regulations

Communicate effectively with stakeholders throughout claim lifecycle

Contribute to service improvement and operational efficiency

Provide disability case management and adjudicate claims based on medical records and plan guidelines

Review diagnostic tests, medical notes, and reports to determine disability status

Perform outreach to employees, physicians, and employers for missing documentation

Use clinical tools such as duration guidelines and expert consultations for assessments

Partner with clinical and vocational teams to support claim decisions and return-to-work goals

Analyze, approve, and authorize claims under short term disability plans

Communicate claim status, expectations, and decisions via calls and written communication

Manage workload, track deliverables, and handle escalations (first and second level)

Process payments, approvals, and adjustments including Workers Compensation and state disability offsets

Experience in short term disability case handling

Ability to interpret medical documentation and disability plans

Knowledge of Workers Compensation and disability offsets

Strong analytical and decision-making skills

Good verbal and written communication

Ability to manage multiple cases efficiently

High attention to detail and accuracy

Disability Claims Processing

Medical Record Analysis

Claims Adjudication and Benefit Calculation

Insurance Domain Knowledge (Disability Claims)

Case Management and Decision Making

Client Communication and Stakeholder Handling

Regulatory Compliance and Policy Interpretation

Workload and Escalation Management

Process Improvement and Quality Assurance

Experience Required: 4-6 years or above