Remote Disability Claims Analyst

Role Overview

Step into a purpose-driven career as a Remote Disability Claims Analyst, where your analytical mindset and compassion converge to deliver tangible support to individuals navigating disability benefits. This remote-first opportunity enables you to thrive in a virtual work environment, utilizing cutting-edge claims processing systems, secure data portals, and real-time communication tools to assess, analyze, and adjudicate disability claims efficiently.

Key Responsibilities

Assess and Analyze Disability Claims

• Review medical documentation, physician reports, and claimant statements using cloud-based claims management platforms.
• Evaluate eligibility for short-term and long-term disability benefits in alignment with policy guidelines and legal frameworks.
• Make evidence-based determinations supported by digital records and audit trails.

Collaborate with Interdisciplinary Teams

• Engage with internal medical consultants, case managers, and legal advisors via encrypted video conferencing tools.
• Clarify claim complexities and seek input through secure collaborative platforms, such as Microsoft Teams or Slack.

Maintain Digital Records and Audit Compliance

• Ensure meticulous documentation using electronic case files.
• Perform real-time status updates and track claim progress via automation-supported dashboards.
• Adhere to industry regulations (HIPAA, ERISA) and internal compliance standards.

Communicate with Stakeholders

• Provide transparent updates to claimants with empathy and clarity through secure messaging and client portals.
• Draft and issue correspondence that aligns with digital compliance and accessibility standards.

Tools and Technology

You will be equipped with a robust tech stack to ensure precision, efficiency, and collaboration in every aspect of your role:

• Claims Processing Software: Guidewire ClaimCenter, ClaimVantage, or equivalent.
• Digital Communication Platforms: Microsoft Teams, Zoom, and secure VoIP systems.
• Case File Management Tools: Salesforce Health Cloud or custom EHR integrations.
• Data Security Solutions: Multi-factor authentication tools and end-to-end encrypted systems.
• Productivity Frameworks: Agile task boards, ticketing systems (e.g., Jira), and automated workflow managers.

Work Environment

Fully Remote and Tech-Integrated

• Operate in a distributed team culture that emphasizes digital connectivity and cloud-based collaboration.
• Access flexible working hours with asynchronous task management capabilities.
• Participate in virtual wellness sessions, inclusive team events, and online performance reviews.

Inclusive and Impactful Culture

• Join a mission-oriented team committed to creating equitable disability support systems.
• Benefit from diversity-forward policies, neurodiversity accommodations, and multilingual communication channels.

Qualifications

Required Experience and Skills

• Minimum of 2 years in disability claims, health insurance adjudication, or a related field.
• Familiarity with interpreting medical and vocational documentation.
• Comfort using remote claims assessment platforms and data visualization tools.
• Strong written communication with an ability to translate complex details into clear, client-facing language.
• Ethical judgment, discretion, and commitment to data privacy.

Preferred Attributes

• Associate's or Bachelor's degree in Healthcare Administration, Nursing, Legal Studies, or a related discipline.
• Experience with remote analytics or reporting tools like Power BI.
• Previous exposure to digital accessibility or compliance-centered environments.
• Bilingual communication capabilities, particularly in Spanish or American Sign Language (ASL), are a plus.

Performance Metrics

You'll be evaluated on:

• Claim resolution time
• Decision accuracy and peer review outcomes
• Stakeholder satisfaction scores
• Documentation completeness and compliance alignment
• Participation in innovation projects and platform feedback

Professional Growth Opportunities

• Advance toward roles like Claims Quality Auditor, Senior Adjudicator, or Remote Claims Trainer.
• Gain certifications in disability management, such as CDMP or CLMS, funded by an employer.
• Engage in continuous learning through sponsored online courses and leadership development programs.
• Participate in AI-enhancement pilots and process automation rollouts.

Why This Role Matters

Every claim is more than paperwork—it's a person's future. Your ability to blend empathy with expertise will impact families relying on timely and fair benefit determinations. As a Remote Disability Claims Analyst, you play a pivotal part in enabling economic resilience and support for those most in need.

Compensation and Benefits

• Annual Salary: $46,198
• Remote Work Stipend: Monthly tech and connectivity allowance
• Health & Wellness: Comprehensive coverage including mental health and disability support
• Learning Budget: Annual allowance for certifications, courses, or skill-building
• Leave Policy: Paid time off, parental leave, and volunteer day allocations

Tech-Inspired Call to Action

Are you ready to transform data into impact and make every claim count? If you're detail-oriented, digitally savvy, and ready to empower lives from your home office, this is your moment. Apply now to become a Remote Disability Claims Analyst and redefine how disability benefits are delivered in the digital age.