Disability Claims Specialist

Job Title Disability Claims Specialist About NRECA NRECA is a national trade association providing advocacy, financial services, and business support to over 900 consumer‑owned electric cooperatives. About the Job Under general supervision, reviews, investigates, and analyzes disability claim information for the NRECA membership in accordance with established policy provisions, procedures, and service standards. Evaluates claims using standardized guidelines and escalation protocols, treating each disability claim as an individual case by researching the claimant's education, training, experience, functional limitations, and identifying potential opportunities for return to work where appropriate. Assists in developing recommended plans of action for assigned claims while maintaining high standards of customer service and meeting productivity and timeliness expectations. Applies judgment within defined parameters to support the development and execution of a claim management approach, escalating complex, disputed, or unusual cases to senior specialists or management. Qualifications Associate degree in business or related field, or 3 years of experience in disability or workers' compensation claims processing working with group insurance plans and service providers. Insurance coursework or designations obtained through organizations such as LOMA, AHIP, ICA, and IFEBP. Three years of claims‑related experience in disability, workers' compensation, medical dental, and/or life insurance. Knowledge, Skills and Abilities Knowledge of the disability claims lifecycle, integrating medical evidence, vocational factors, functional limitations, and policy provisions to support consistent decisions. Strong analytical and critical thinking skills with sound decision‑making within established policies and authority levels. Clear and professional verbal and written communication, effectively engaging diverse members and employees; fluency in English. Ability to identify, investigate, and document issues accurately. Strong customer service skills, including active listening, needs assessment, and de‑escalation of challenging situations. Accountable for attendance and adherence to a hybrid work schedule. Ability to report to the office when required. Work Schedule 8:15 a.m. - 5:00 p.m., Monday through Friday; Hybrid Schedule – 3 days in office (Tuesdays and Thursdays required; one additional day of your choice) and 2 days from home. Essential Physical Requirements Primarily sedentary work with extended periods of sitting. Close visual acuity for computer work and data analysis. Manual dexterity for frequent keyboard use. Occasional light lifting (up to 10 lb). Effective communication in person, by phone, and via email. Equal Employment Opportunity All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. NRECA is committed to providing reasonable accommodation to individuals with physical and mental disabilities. #J-18808-Ljbffr