Our work positively affects millions of lives—and you can help make a difference.

We provide protection and peace of mind to our customers during life’s unpredictable moments. No matter your role within the company, you’ll be contributing to that mission.

As a Claims Specialist, you’ll work collaboratively to handle tasks related to State-Mandated Disability Claims. This customer-facing role requires strong written and verbal communication skills to deliver exceptional service to claimants and policyholders. A professional attitude and a genuine desire to assist others are key.

Success in this role requires critical thinking, strong organizational and time management skills, and a sharp eye for detail due to the sensitive nature of the claims. Experience with State-Mandated Disability Leave, short- and long-term disability, or FMLA leave and claims is essential.

The ideal candidate will be an effective communicator with strong data entry skills, a curiosity for learning, and the ability to quickly absorb new information. Comfort with technology and a willingness to adapt to evolving tools and processes are also important.

Key Responsibilities:

– Apply departmental procedures and regulatory guidelines appropriately.
– Manage various types of claims by reviewing and prioritizing incoming documents to meet required deadlines.
– Communicate with claimants, policyholders, and healthcare providers to gather necessary information for claim processing.
– Review medical, employer, and claimant data to determine eligibility, benefit duration, and payment amounts, including tax considerations.
– Refer complex cases to subject matter experts or supervisors.
– Maintain accurate and detailed documentation of claim activities and communications.
– Meet or exceed productivity goals for claim processing.
– Make informed decisions to approve, pend, or deny claims based on established procedures.
– Meet or surpass quality standards for financial accuracy and compliance.
– Deliver prompt, accurate, and courteous service to enhance the customer experience.
– Collaborate with other departments to support company and team goals.
– Participate in departmental projects and assignments as needed.

Skills and Abilities:

– Excellent customer service and communication skills
– Strong attention to detail and organizational abilities
– Comfortable with technology and open to change
– Team-oriented with strong problem-solving skills
– Knowledge of federal and state leave laws
– Ability to assess and process disability and leave claims
– Proficient in Microsoft Excel and Word

Minimum Requirements:

– High school diploma required
– College degree or a minimum of three years of relevant work experience preferred
– 1–2 years of experience in disability claims
– Familiarity with state-mandated disability claims is highly desirable

Schedule:

– This is a full-time, 40-hour per week position with a semi-flexible Monday–Friday schedule, subject to business needs.

Compensation:

– Salary range: $45,000–$55,000 annually
– Actual compensation may vary based on location, experience, and qualifications. This range is part of a comprehensive compensation package.

Employee Benefits:

We support our employees and their families with a wide range of benefits. These include medical, dental, and vision coverage, mental health support, and an employee assistance program. We value work-life balance and offer paid time off, parental leave, short-term disability, and a cultural observance day. Financial wellness is also a priority, with benefits such as healthcare account contributions, a pension plan, and a 401(k) with company match. Employees can also earn rewards through our ProHealth Rewards program for engaging in wellness activities.

Note: Benefit eligibility may vary by position and is subject to the terms of the company’s benefit plans.

Accommodations for Applicants with Disabilities:

If you need accommodations during the application or hiring process due to a disability, please contact martina.winston@protective.com. This information will be kept confidential and used only to provide appropriate support.

Please use this contact only for accommodation requests. General employment inquiries should be directed elsewhere.

We are proud to be an equal opportunity employer dedicated to fostering an inclusive and diverse workforce.