Senior Long Term Disability Claims Specialist

Pacific Life

. Manage a diverse and complex caseload of Long Term Disability claims from initial intake through resolution .

Posted 10/22/2026full-timeRemote • United StatesSenior💰 $69,390 - $84,810 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Long Term Disability claims, applying regulatory requirements, and developing return-to-work strategies while maintaining a customer-focused approach. Strong analytical skills and the ability to mentor team members contribute to effective decision-making and process improvements.

Highest-signal resume keywords

Long Term Disability Claims ManagementRegulatory Compliance (ERISA)Analytical and Critical Thinking SkillsStrong Communication SkillsProcess Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdministrationPolicy InterpretationContractual Language ApplicationBenefit Eligibility AssessmentComplex Case ManagementDecision-MakingDocumentation AccuracyWorkflow Tools ProficiencyReturn-to-Work Strategy DevelopmentRegulatory Requirements Application

Soft Skills

Customer-Focused ApproachEmpathy in CommunicationProactive Problem SolvingOrganizational SkillsTime Management

Tools & Technologies

Pacific Life’s Workforce Benefits PlatformsClaims Administration Systems

Industry Keywords

Long Term DisabilityClaims ProcessingComplianceVocational ServicesClinical Collaboration

About the role

Key responsibilities & impact

Manage a diverse and complex caseload of Long Term Disability claims from initial intake through resolution
Make timely, fair, and accurate claim decisions using sound judgment and policy provisions
Collaborate with clinical and vocational partners to develop return-to-work strategies and determine benefit eligibility and durations
Serve as a subject matter expert on Long Term Disability claim practices
Consult on best practices and contribute to internal procedures, workflows, and system requirements
Apply disability contract provisions, exclusions, riders, waivers, and regulatory and statutory requirements
Document decisions and interactions accurately and communicate with claimants, employers, and internal stakeholders
Mentor and support onboarding of new team members
Collaborate with Compliance, Legal, Intake/Admin, Clinical and Vocational Services, and other business units
Identify process gaps and contribute to continuous improvement and enterprise initiatives
Adapt to changing priorities, business needs, and regulatory requirements
Maintain confidentiality, professionalism, and integrity in claim-related activities
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree or equivalent work experience preferred
5+ years of Long Term Disability claims experience required
Experience managing complex and high-risk cases preferred
Ability to independently manage a full caseload and make sound decisions with limited oversight
Strong communication skills for engaging with claimants, employers, providers, and internal partners
Customer-focused, proactive, solutions-oriented approach to problem solving
Ability to handle sensitive and difficult conversations with empathy and professionalism
Ability to interpret and apply policy provisions, contractual language, and regulatory requirements
Advanced knowledge of ERISA and related federal and state regulatory requirements
Ability to apply guidelines to complex claim scenarios and ensure consistent, compliant outcomes
Ability to develop and maintain strong knowledge of Pacific Life’s Workforce Benefits platforms, claims administration systems, and workflow tools
Detail-oriented with balanced, objective decision-making and a high degree of integrity and accountability
Advanced analytical and critical thinking skills
Ability to evaluate complex medical, vocational, and financial information
Ability to work independently and serve as a resource and informal mentor
Ability to contribute to process improvements and best practices
Strong organizational and time management skills
Ability to prioritize competing demands and adapt quickly in a fast-paced, changing environment

Benefits

Comp & perks

Medical, Dental, Vision, and Wellbeing Reimbursement Account for employees and eligible dependents
Paid Time Off
Holiday Schedules
Financial Planning Time Off
Paid Parental Leave
Adoption Assistance Program
Competitive 401k savings plan with company match
Additional 401k contribution regardless of participation
Flexible benefits that can be tailored to individual needs