Disability Case Manager

Alight Solutions

Disability Case Manager administering and managing assigned Group Short Term Disability claims. Following plan provisions and state guidelines to ensure compliance and effective claims resolution.

Posted 7/13/2026full-timeRemote • Illinois • 🇺🇸 United StatesJuniorMid-Level💰 $55,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in administering and managing Group Short Term Disability claims while adhering to state and federal guidelines. Proficient in problem-solving, decision-making, and effective communication with claimants and stakeholders.

Highest-signal resume keywords

Disability Claim ManagementRegulatory Compliance StandardsAnalytical SkillsProblem SolvingCommunication Skills

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

Case ManagementClaim InvestigationBenefit Eligibility DeterminationPre-Existing Condition InvestigationMathematical AptitudeProductivity ManagementClaim Management ProceduresBenefit Recalculation

Soft Skills

Decision-MakingMultitaskingVerbal CommunicationWritten Communication

Tools & Technologies

Claim Management Resources

Industry Keywords

Group Short Term DisabilityClaim Status CommunicationJob Accommodation OpportunitiesFast Track Disability Claims

About the role

Key responsibilities & impact

administering and case managing assigned Group Short Term Disability claims
following the plan provisions, state and federal guidelines, and established protocols
using most efficient and effective means of proactive outreach to obtain and/or dispense information
involving information to and from claimants, departmental managers, physicians, HR, Payroll, or any other sources
communicating claim status and decisions via telephone and in writing
initiating communications to claimant, physician, and /or plan holder to obtain information, make assessment, and initial claim decision
prioritizing and reviewing new claims to adhere to established departmental productivity
meeting productivity requirements as established by department for handling fast track disability claims
investigating and analyzing claim information to determine coverage and benefit eligibility
performing pre-existing condition investigation and draft adverse determination letter, if applicable
determining disability by comparing functionality with job
setting up claim for initial benefit approval including physician statement(s) and medical records
following claim management procedures and identifies potential return to work, job accommodation opportunities when applicable
utilizing claim management resources
working with the goal of returning claimant to active work status
assessing claim when other sources of income are received to ensure accurate offsets are applied
recalculating benefits as needed determining under/overpayments

Requirements

What you’ll need

demonstrable independent problem solving and decision-making ability
able to clearly communicate claim decisions and contract language verbally and in written correspondence
demonstrable math aptitude, ability to multitask, and analytical skills
4-year college education or equivalent work/education experience
experience of 2 years of disability claim management experience (STD), or other previous Group insurance experience
experience with candidate regulatory and compliance standards

Benefits

Comp & perks

health, dental and vision coverages starting Day One
wellbeing programs
retirement plans with contribution matching
generous time off
parental leave
continuing education
career growth opportunities
flexible working arrangements