Paid Leave Claims Specialist

Protective Life

. Manage new, ongoing, and periodic State-Mandated Disability and Paid Family Leave claims within required regulatory and departmental timeframes .

Posted 10/23/2026full-timeRemote • United StatesJunior💰 $45,000 - $60,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing State-Mandated Disability and Paid Family Leave claims, ensuring compliance with federal and state laws while providing exceptional customer service. Proficient in evaluating claims, maintaining accurate documentation, and collaborating across teams to enhance operational efficiency.

Highest-signal resume keywords

Disability Claims ManagementCustomer Service SkillsRegulatory Compliance KnowledgeMicrosoft Excel ProficiencyAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingBenefit CalculationDocumentation ManagementEligibility EvaluationState-Mandated Disability KnowledgeShort-Term Disability ExperienceLong-Term Disability ExperienceFMLA Claims ExperienceProductivity MeasurementQuality Standards Adherence

Soft Skills

Communication SkillsOrganizational SkillsTeamworkProblem-Solving AbilitiesTechnological Aptitude

Tools & Technologies

Microsoft WordClaims Management Software

Industry Keywords

State-Mandated DisabilityPaid Family LeaveFederal and State LawsClaims EnvironmentQuality Audits

About the role

Key responsibilities & impact

Manage new, ongoing, and periodic State-Mandated Disability and Paid Family Leave claims within required regulatory and departmental timeframes
Review claimant, employer, medical, and other relevant documentation to determine benefit eligibility, claim duration, and benefits payable
Make timely and accurate decisions to approve, pend, or deny assigned claims in accordance with applicable regulations, policy provisions, and departmental procedures
Communicate with claimants, policyholders, employers, and healthcare providers by phone and in writing
Prioritize incoming correspondence and assigned work to meet service-level and mandated turnaround requirements
Accurately calculate and process applicable benefits and taxes
Maintain clear, complete, and accurate claim documentation
Identify and escalate complex or unusual claim situations
Meet established productivity, financial, and quality standards
Review and respond to quality audits and related correspondence
Provide prompt, accurate, and courteous service to internal and external customers
Collaborate across teams to resolve claim issues and support departmental and organizational objectives
Participate in projects, process improvements, and other departmental assignments as needed

Requirements

What you’ll need

High School diploma required
1–2 years’ experience in a disability or leave claims environment required
Strong customer service and communication skills
Attention to detail and organizational skills
Technological aptitude and adaptability
Teamwork and problem-solving abilities
Knowledge of federal and state laws on leaves of absence
Ability to evaluate and process disability and leave claims
Proficiency in Microsoft Excel and Word
Experience administering State-Mandated Disability claims preferred
Experience with short-term disability, long-term disability, and/or FMLA claims preferred
Experience working in a productivity- and quality-measured claims environment preferred
College degree or an equivalent of at least three (3) years of work experience preferred
Bachelor’s degree or an equivalent combination of education and relevant work experience preferred

Benefits

Comp & perks

Comprehensive health, dental, and vision insurance
Mental health benefits
Employee assistance program
Paid time off
Paid parental leave
Short-term disability
Cultural observance day
Contributions to healthcare accounts
Pension plan
401(k) plan with Company matching
ProHealth Rewards wellness platform with cash rewards