LTD Claims Consultant

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a LTD Claims Consultant based in United States.

This role supports the effective and accurate management of Long-Term Disability (LTD) claims while helping improve service delivery and operational performance. You will provide technical guidance to claims teams and serve as a subject matter expert on complex claims and adjudication matters. The position plays an important role in improving claim decision quality, management accuracy, and turnaround times. You will identify root causes, assess risks, and develop practical solutions that strengthen processes and efficiency. The role offers opportunities to contribute to cross-functional initiatives, automation, and continuous improvement programs. You will also coach and mentor colleagues while promoting knowledge sharing, innovation, and high standards of customer service. This is a remote position with occasional travel to company offices as business needs require.

Accountabilities:: Provide technical support to claims teams, including claim authorization reviews, complex issue resolution, and expert guidance on adjudication.

Drive improvements in initial claim decisions, claim management accuracy, and critical turnaround-time metrics.

Identify root causes of performance issues and develop solutions that improve efficiency, accuracy, service quality, and innovation.

Leverage automation and alternative sourcing approaches to increase operational capacity and streamline claims activities.

Collaborate across lines of business to identify, share, and implement claims best practices.

Serve as a subject matter expert for workstream initiatives, supporting timely and effective execution of strategic priorities.

Mentor and coach claims professionals and peers, providing constructive feedback and supporting capability development.

Promote a culture of open communication, continuous improvement, accountability, and customer-focused service.

Identify, assess, and manage operational and claims-related risks while maintaining appropriate quality standards.

Support day-to-day execution against key performance metrics and contribute to sustained improvements in claims operations.

Requirements:

3+ years of Long-Term Disability (LTD) claims handling experience, with prior Disability Income (DI) experience or equivalent relevant experience.

At least 1 year of experience providing feedback, coaching, or guidance to frontline staff and/or frontline supervisors.

Extensive knowledge of group LTD products, administration, claims procedures, and disability claims management.

Strong understanding of the financial, medical, occupational, and investigative dimensions of disability claims.

Demonstrated ability to analyze complex issues, identify risks and root causes, and develop effective solutions.

Excellent verbal and written communication skills, with the ability to explain technical claims matters clearly to different audiences.

Strong organizational, analytical, time-management, prioritization, and problem-solving capabilities in a fast-paced environment.

Proven ability to train individuals and teams, mentor colleagues, and contribute to professional development.

Strong proficiency with Microsoft Office applications, particularly Word, Excel, and PowerPoint, as well as databases, imaging systems, and other PC-based applications.

Ability to work independently while collaborating effectively across teams and business functions.

Self-motivated, adaptable, and committed to continuous improvement, innovation, and superior customer service.

Demonstrated self-awareness, openness to feedback, and ability to foster constructive working relationships.

Benefits:

Salary range: $58,620–$96,300 per year, with final compensation determined by education, experience, knowledge, skills, and abilities.

Potential eligibility for annual, sales, or other incentive compensation.

Remote work arrangement, with travel to company offices as needed.

Comprehensive benefits and resources designed to support physical, financial, and overall well-being.

Opportunities for skill building, leadership development, mentoring, and career growth.

Philanthropic and community engagement opportunities.

Inclusive workplace culture focused on collaboration, professional development, and high ethical standards.

Benefits available to eligible full-time employees, with additional programs and resources supporting employees' personal and professional goals.

Employment-based visa sponsorship is not currently available for this position; candidates must be authorized to work in the United States without current or future employer sponsorship.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1