Short Term Disability Appeals Specialist

Lincoln Financial

. Serve as a product subject matter expert and provide full, fair appeal reviews for multiple product lines .

Posted 9/23/2026full-timeRemote • United StatesJunior💰 $59,250 - $94,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in appeals claims management, including analyzing complex coverage contracts and providing technical guidance on claims processes. Proficient in communicating effectively with stakeholders and improving operational performance through detailed analysis and coaching.

Highest-signal resume keywords

Appeals Claims ManagementShort-Term Disability ExperienceLong-Term Disability ExperienceMicrosoft Office Suite ProficiencyClaims Process Analysis

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims AnalysisCoverage DeterminationFinancial CalculationsPolicy InterpretationClaims Workflow Management

Soft Skills

Effective CommunicationOrganizational SkillsAttention to DetailCoachingPresentation Skills

Tools & Technologies

SystemOneMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Outlook

Industry Keywords

Claims ManagementAppeals ReviewMedical TerminologyComplianceAccount Management

About the role

Key responsibilities & impact

Serve as a product subject matter expert and provide full, fair appeal reviews for multiple product lines
Perform and deliver appeals claims assignments and projects
Analyze and manage a caseload of appeals claims
Review, investigate, and make claim determinations regarding coverage, compensability, and claim appropriateness
Provide technical information and detailed guidance to Claims management and teams regarding products, claims processes, regulations, and applicable systems
Analyze and process claims by investigating and obtaining complex information
Apply claim policies and procedures and engage internal/external resources for fair, ethical, and timely claim management
Analyze and interpret complex coverage contracts to determine eligibility
Identify, interpret, and resolve gaps in financial calculations and offsets
Share technical knowledge regarding financial calculations involving complex contract provisions
Research questions and escalations from Claims teams and liaise with Underwriting, Actuarial, Compliance, Account Management, and other stakeholders
Explain policy details, claim processes, and claim determinations to customers
Use internal reporting to identify trends and audit performance against team metrics
Propose and develop practices and processes to improve performance and customer experience
Apply policies and procedures regarding medical terminology, duration, functionality documentation, and claims workflow
Provide detailed guidance and coaching to junior team members

Requirements

What you’ll need

4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's)
1 - 3+ Years of Short-Term and/or Long-Term Disability experience (Required)
Ability to communicate effectively (verbal/written)
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
Experience working with multiple products (nice-to-have)
Presentation training or skills (nice-to-have)
Excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail (nice-to-have)
SystemOne experience (nice-to-have)

Benefits

Comp & perks

Clearly defined career tracks and job levels
Leadership development and virtual training opportunities
PTO/parental leave
Competitive 401K and employee benefits
Free financial counseling, health coaching and employee assistance program
Tuition assistance program
Flexible work arrangements
Effective productivity/technology tools and training
Annual Incentive Program eligibility
Potential long-term incentives and sales incentives
Lincoln’s standard benefits package