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Disability Claims Manager Jobs in Port Richey, FL

The Casualty Claims Examiner will work alongside claims management, providing direction and ... Reasonable accommodations may be made to enable individuals with disabilities to perform the ...

... 1) Managing a caseload for an insurance, disability, vocational, social work or government program 2) Determining initial or continued eligibility of claims, based on rules and regulations 3) ...

Join ESIS, a leader in risk management and insurance services, where your skills and talents can ... disability, medical condition, genetic information, military and veteran status, age, and pregnancy ...

Lead, coach, and develop Claims Managers, Claims Leads, and Analysts to build capability ... Reasonable accommodation may be made to enable individuals with disabilities to perform the ...

New

ESIS Claims Compliance Specialist, WC

Tampa, FL ยท On-site

$22 - $30.25/hr

Compliance & Notice Management * Receive, acknowledge, and respond to all compliance notices ... disability, medical condition, genetic information, military and veteran status, age, and pregnancy ...

Claims Examiner

Tampa, FL ยท On-site +1

$62K - $85K/yr

Sets reserves within authority or makes recommendations concerning reserve changes to manager ... disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an ...

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Disability Claims Manager information

See Port Richey, FL salary details

$31K

$77.9K

$123.2K

How much do disability claims manager jobs pay per year?

As of Aug 4, 2026, the average yearly pay for disability claims manager in Port Richey, FL is $77,893.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,300.00 and $93,100.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a disability claims manager, and why are they important?

To excel as a Disability Claims Manager, you need strong knowledge of insurance regulations, claims processing, risk assessment, and a background in healthcare, business, or a related field. Familiarity with claims management software, regulatory compliance systems, and certifications such as Associate in Claims (AIC) or Certified Professional in Disability Management (CPDM) is often beneficial. Key soft skills include attention to detail, empathetic communication, and effective leadership for managing teams and resolving sensitive cases. These skills ensure accurate, efficient claims handling and provide essential support to claimants while upholding organizational standards and compliance.

What are the typical challenges faced by disability claims managers in their day-to-day work?

Disability Claims Managers often encounter challenges such as evaluating complex medical information, balancing compliance requirements with compassionate service, and making tough decisions regarding claim approvals or denials. They frequently work under tight deadlines while ensuring accuracy and fairness for both claimants and their employer. Additionally, managing a caseload and coordinating with physicians, legal teams, and other stakeholders can be demanding. Successfully navigating these challenges requires strong organizational skills, up-to-date regulatory knowledge, and excellent communication to support fair and timely outcomes.

What does a disability claims manager do?

A Disability Claims Manager oversees the processing and evaluation of disability claims, ensuring they comply with company policies and legal regulations. They review medical records, collaborate with healthcare providers, and assess claim validity based on policy guidelines. Additionally, they communicate with claimants, provide updates, and address inquiries. Their role also involves fraud detection, dispute resolution, and implementing best practices to improve efficiency. Effective decision-making, empathy, and regulatory knowledge are key to success in this role.

What job categories do people searching Disability Claims Manager jobs in Port Richey, FL look for? The top searched job categories for Disability Claims Manager jobs in Port Richey, FL are:
What cities near Port Richey, FL are hiring for Disability Claims Manager jobs? Cities near Port Richey, FL with the most Disability Claims Manager job openings:
Infographic showing various Disability Claims Manager job openings in Port Richey, FL as of June 2026, with employment types broken down into 90% Full Time, 7% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $77,893 per year, or $37.4 per hour.

Disability Claims Specialist (Part Time)

Software Guidance & Assistance

Tampa, FL โ€ข On-site

Other

Posted 13 days ago


Job description

Software Guidance & Assistance, Inc., (SGA), is searching for a Disability Claims Specialist (Part Time) for a CONTRACT assignment with one of our premier Insurance Services clients. This position is fully remote.
The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims Consultant is required to exercise independent judgment, critical thinking skills, exemplary customer service skills as well as effective inventory management skills.
Responsibilities :
  • Effectively manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will be evaluated for increases in their authority levels as they become more experienced in their decision-making and demonstrate consistency in meeting all key performance indicators
  • Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations
  • Provides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other information that may be pertinent to the evaluation of the claim. Once telephone calls are completed, you will be required to document the conversation within the claim file in a timely manner utilizing the appropriate level of detail and professional writing skills
  • Interacts and communicates effectively with claimants, customers, attorneys, brokers, and family members during claim evaluations
  • Compiles file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available
  • Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
  • Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed
  • Proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, and Rehab Return to Work benefits, and other non-routine payments
  • Provides timely and detailed written communication during the claim evaluation process which outlines the status of the evaluation and/or claim determination.
  • Addresses and resolves escalated customer complaints in a timely and thorough manner. Identifies and refers appropriate matters to our appeals, complaint, or litigation support areas.
Required Skills :
  • 3+ years of LTD/IDI Insurance Claims experience
  • Prior experience with independent judgement and decision making while relying on the available facts
  • Be able to demonstrate the use of critical thinking and analysis when reviewing the information
  • Creative problem-solving abilities and the ability to think outside the box
  • Excellent interpersonal and communication skills in both verbal and written form
  • Excellent customer service skills proven through internal and external customer interactions
  • Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively
  • Organizational and time management skills
  • Bachelor's degree
#LI-RL1
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company to request an accommodation or assistance regarding our policy.