What You'll Do
- Design realistic scenarios involving short- and long-term disability claims, elimination periods, own-occupation and any-occupation definitions, residual and partial disability, offsets, recurrent disability and claim duration management
- Create work products such as claim determinations, benefit calculations, medical and vocational evidence summaries, transferable-skills analyses, return-to-work plans and appeal decisions
- Write "golden" reference responses at experienced disability-professional quality
- Grade AI-generated responses against structured rubrics for definitional accuracy, evidentiary support, benefit-calculation correctness and procedural fairness
- Identify misapplied disability definitions, unsupported functional conclusions, missed offsets, incorrect benefit math, and failures to document the administrative record
- Provide written feedback the research team uses to improve model behavior
- Participate in onboarding office hours and calibration sessions
You're a Good Fit If You
- Have 2+ years of professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management
- Have worked with at least one program type, such as group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premium
- Understand how contract definitions, elimination periods, offsets, pre-existing-condition provisions and maximum benefit periods determine entitlement and duration
- Can weigh medical, occupational and financial evidence and articulate a defensible determination with a documented rationale
- Demonstrate excellent written analysis, balanced judgment and high attention to detail
- Can distinguish claim adjudication from treating-provider clinical decisions and from formal legal advice
Bonus Qualifications
- CRC, CDMS, CCM, CPDM, RN, or comparable clinical or vocational credential
- Experience with ERISA administrative records, appeals or litigation support
- Individual disability income underwriting, including occupation class and financial underwriting
- Social Security, workers compensation or other-income offset coordination experience
- Experience with FMLA, state leave programs or ADA accommodation interaction
Role Highlights
- Minimum 20 hours per week (ideally 40+)
- Role starts immediately, applications reviewed on a rolling basis
We consider all qualified applicants without regard to legally protected characteristics and provide reasonable accommodations upon request.
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