Senior LTD Claims Case Manager III

Guardian Life

Case Manager III managing Long Term Disability claims with a focus on accurate decision-making. Collaborating with teams to assist claimants' return to work efforts and ensuring compliance with regulations.

Posted 6/17/2026full-timeRemote • New Jersey, Pennsylvania, Texas • 🇺🇸 United StatesSenior💰 $58,620 - $96,300 per yearWebsite

About the role

Key responsibilities & impact

Responsible for making accurate decisions on assigned claims through proactive case management
Consults with other team members, and the Clinical and Vocational Teams to assist claimants with return to work efforts
Delivers timely and appropriate disability claim decisions
Partners with coworkers to broaden and enhance their knowledge of complex claim handling
Administers claims within a variety of group sizes ranging from small to large market
Determines integrated income to ensure appropriate financial risk and accurate payments
Consults with legal, investigative resources, and financial specialists

Requirements

What you’ll need

Minimum three years of Long Term Disability claims experience
Four-year college degree preferred or equivalent work/education experience
Regulatory and Compliance experience a plus
Excellent written and verbal communication skills
Ability to exercise independent and sound judgement in decision making
Ability to analyze evidence for discrepancies
Ability to conduct research using multiple techniques
Excellent time management and organizational skills
Multitasking with the ability to manage continually changing priorities
Self-motivated and able to work independently
Work collaboratively with multiple professional disciplines and diverse populations
Basic computer skills and knowledge, including Microsoft Office
Understanding of medical terminology and medical conditions helpful.

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work hours
Paid time off
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Long Term Disability claims experienceRegulatory and Compliance experienceEvidence analysisResearch techniquesMedical terminologyFinancial risk assessmentClaims administration

Soft Skills

Written communicationVerbal communicationJudgementTime managementOrganizational skillsMultitaskingSelf-motivatedCollaboration