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Disability Claims Processor Jobs in Oregon (NOW HIRING)

... the claims process. * Investigation: Conduct thorough investigations, including gathering ... disability, medical condition, genetic information, military and veteran status, age, and pregnancy ...

... the claims process. * Investigation: Conduct thorough investigations, including gathering ... disability, medical condition, genetic information, military and veteran status, age, and pregnancy ...

Case Manager I LTD

Portland, OR · On-site

$55 - $83/hr

You will manage customer service, the benefit payment process and the financial risk associated with an assigned block of Long Term Disability claims. The Case Manager will apply the appropriate ...

New

Lead Medical Claims Auditor I

Milwaukie, OR · On-site

$20.88 - $23.49/hr

... of process improvements. Oversees department workflow and provides assignments as needed. Assists ... Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ...

Claims Specialist

Portland, OR · Remote

$52K - $85K/yr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... disability management industries. CorVel was founded in 1987 and has been publicly traded on the ...

Claims Specialist

Portland, OR · On-site

$52K - $85K/yr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... disability management industries. CorVel was founded in 1987 and has been publicly traded on the ...

Claims Specialist

Portland, OR · On-site

$55 - $75/hr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... disability management industries. CorVel was founded in 1987 and has been publicly traded on the ...

New

Claims Advocate

OR · On-site +1

$65K - $80K/yr

Negotiate Settlements: negotiate and process denials per the policy. * Evaluation: Establish the ... disability insurance, 401(k), flexible paid time off, parental leave and more. US annual base ...

Ensure compliance with claims handling process for U.S. claim handling entities. * Evaluate ... Basic Long-Term Disability (employer) paid-Taxable income * Employee paid Long Term Disability ...

Showing results 21-40

Disability Claims Processor information

What does a disability claims processor do?

A Disability Claims Processor reviews and evaluates disability insurance claims to determine whether applicants are eligible for benefits. They analyze medical records, employment history, and other relevant documentation to make informed decisions in accordance with policy guidelines and legal regulations. These professionals communicate with claimants, healthcare providers, and employers to gather necessary information and explain claim decisions. Their goal is to ensure accurate, timely, and fair processing of disability claims.

What are the key skills and qualifications needed to thrive as a disability claims processor?

To thrive as a Disability Claims Processor, you need strong analytical skills, attention to detail, and a solid understanding of insurance regulations, often supported by a background in business, healthcare, or insurance. Familiarity with claims management systems, medical terminology, and relevant software like MS Office or specialized claims platforms is typically required. Excellent communication, empathy, and problem-solving abilities are important soft skills for working with claimants and coordinating with medical professionals. These competencies ensure accurate, timely claims processing while maintaining compliance and delivering compassionate service to clients.

What are some common challenges faced by disability claims processors, and how can applicants prepare for them?

Disability Claims Processors often encounter challenges such as managing a high volume of complex cases, interpreting medical and legal documentation, and maintaining compliance with evolving regulations. Applicants can prepare by developing strong organizational skills, attention to detail, and the ability to communicate clearly with claimants, healthcare providers, and legal professionals. Familiarity with specialized claims processing software and a willingness to stay updated on policy changes will also help new hires succeed in this dynamic role.

What is the difference between Disability Claims Processor vs Disability Claims Examiner?

AspectDisability Claims ProcessorDisability Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsBachelor's degree often preferred; certifications in insurance or healthcare are common
Work EnvironmentOffice setting, processing claims, data entry, customer communicationOffice or government agency, reviewing detailed claims and medical documentation
Employer & Industry UsageInsurance companies, government agencies, third-party administratorsInsurance companies, government disability programs, healthcare organizations
Common Search & ComparisonYesYes

Disability Claims Processors primarily handle the initial processing of disability claims, focusing on data entry and customer communication. Disability Claims Examiners review detailed medical documentation and make determinations on claim validity. While both roles work within the disability insurance industry and require similar credentials, Examiners typically have more in-depth review responsibilities and may require higher education or certifications.

How to get a job as a disability claims processor?

To become a disability claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring post-secondary education or relevant experience. Strong organizational skills, attention to detail, and familiarity with claims processing software are important. Certification in claims or insurance processing can enhance job prospects, and positions often require working in an office environment with standard business hours.

Is claims processing a stressful job?

Disability claims processing can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling sensitive information and managing a high volume of cases, which can contribute to work-related stress. However, workload and stress levels vary depending on the employer and individual workload management skills.

Who processes disability claims?

Disability claims are processed by claims processors or adjudicators working for government agencies, insurance companies, or third-party administrators. These professionals review medical records, application forms, and supporting documentation to determine eligibility based on policy or program criteria, often using specialized software and adhering to regulatory guidelines.

What are popular job titles related to Disability Claims Processor jobs in Oregon?

For Disability Claims Processor jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Disability Claims Processor jobs in Oregon look for?

The top searched job categories for Disability Claims Processor jobs in Oregon are:

Infographic showing various Disability Claims Processor job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, 3% Contract, and 1% Nights. Highlights an 94% Physical, 3% Hybrid, and 3% Remote job distribution.

Workers Compensation Claims Consultant

Alera Group

Portland, OR • On-site, Remote

$80K - $110K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 13 days ago


Alera Group rating

7.5

Company rating: 7.5 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

226th of 315 rated insurance


Job description

OVERVIEW

Alera Group is looking for a Workers Compensation Claims Consultant. We are seeking highly motivated colleagues who bring experience and enthusiasm to our team – joining us may be the perfect fit for you!  

Founded in 2017, Alera Group has grown to become the 14th largest broker of U.S. business. We are passionate about our clients’ success in Employee Benefits, Property & Casualty Insurance, and Financial Services. With offices nationwide, our collaborative approach allows us to deliver national strength with local service.


RESPONSIBILITIES

Primary Role:

The WC Claims Consultant’s role is to work effectively with our clients building solid relationships and retaining business. The WC Consultant works with all sales executives, internal staff in commercial lines departments, and externally with our clients, carriers and vendors. Service timeline focus is on larger valued or 360 Clients for onboarding new accounts and establishing claims services with their carrier/TPA/applicable vendors, providing claims oversight, employer training, and scheduling claim reviews and various presentations.

Duties also include providing claims service for all clients providing technical expertise and servicing as an advocate on client WC claim issues. WC Claims Consultants work independently with clients and their carrier/TPA consulting on large reserves, coverage issues, return to work issues, settlements, and other items that have a significant impact on retention and premiums. They may also present to prospects and clients at renewals, stewardship meetings and claim reviews.


QUALIFICATIONS
  • Contact with clients, carrier and TPA claims adjusters, internal customers, and vendors on regular basis to serve as advocate, liaison, mediator, resource & problem solver
  • Prepare, coordinate & present claim reviews, risk analysis, status spreadsheets and other claim meetings as requested
  • When coverage issues arise, will research potential solutions through a review of client’s policies and then advocate on client's behalf with carrier
  • Participate with or without sales executives in presentations to current clients, prospects, proposals, and RFP presentations
  • Documentation and diary maintenance on key claims in Sagitta and ImageRight
  • Function as back-up for other WC Claims Team members
  • Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities
  • Provide claims management training, “WC 101” to clients to educate them on the claims process.
  • Strong attention to detail, dependability, and ability to follow through on tasks.
  • Proficiency in Sagitta, ImageRight, claims functions, carrier websites, and MS Office (Word, Excel, Outlook, PowerPoint)
  • Excellent oral and written communication skills, including public speaking and presenting to groups.
  • Washington and/or Oregon Agent’s License with at least 5 years of experience in commercial, personal multiline, and workers' compensation claims
  • Expertise in complex loss analysis and commitment to continued insurance education (e.g., INS, AIC, SCLA, CPCU, CCM)

ADDITIONAL INFORMATION

· Minimum 5 years claims experience related to Workers’ Compensation

· Proficient in complex loss analysis

· Familiarity with and experience in WC claims litigation

· Continued pursuit of professional designations (e.g., INS, AIC, SCLA, CPCU, ARM)

**California and Oregon experience preferred**

Alera Group offers comprehensive benefits to our colleagues, including medical, dental, life and disability insurance, 401k, generous paid time off and much more. 

Salary range is $80K to $110K per year.

We are anequal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class. 

If you're a California resident, please read theCalifornia Consumer Privacy Actprior to applying. 

#LI-SE1 

#LI-Hybrid

#LI-Remote


Location Type
RemoteQualifications:
  • Contact with clients, carrier and TPA claims adjusters, internal customers, and vendors on regular basis to serve as advocate, liaison, mediator, resource & problem solver
  • Prepare, coordinate & present claim reviews, risk analysis, status spreadsheets and other claim meetings as requested
  • When coverage issues arise, will research potential solutions through a review of client’s policies and then advocate on client's behalf with carrier
  • Participate with or without sales executives in presentations to current clients, prospects, proposals, and RFP presentations
  • Documentation and diary maintenance on key claims in Sagitta and ImageRight
  • Function as back-up for other WC Claims Team members
  • Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities
  • Provide claims management training, “WC 101” to clients to educate them on the claims process.
  • Strong attention to detail, dependability, and ability to follow through on tasks.
  • Proficiency in Sagitta, ImageRight, claims functions, carrier websites, and MS Office (Word, Excel, Outlook, PowerPoint)
  • Excellent oral and written communication skills, including public speaking and presenting to groups.
  • Washington and/or Oregon Agent’s License with at least 5 years of experience in commercial, personal multiline, and workers' compensation claims
  • Expertise in complex loss analysis and commitment to continued insurance education (e.g., INS, AIC, SCLA, CPCU, CCM)
Education:UNAVAILABLEEmployment Type: FULL_TIME

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