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DI Claim Specialist

Springfield, Massachusetts Claims Job ID R15645

DI Claim Specialist, DI Claims

Springfield Office, Fulltime (Hybrid)

Job Description


We’re growing and our clients deserve the best. As a DI Claim Examiner,you will be responsible for adjudicating Individual Disability Income and Life Waiver of Premium claims of varying complexity.

The Opportunity

As a Claim Examiner, you will collaborate with subject matter experts; you will proactively identify, solicit, and analyze information essential to the claim evaluation process, including but not limited to medical records, financial documentation, and occupational information; you will develop and implement investigative action plans; and make or recommend liability determinations in adherence with policy provisions.

The Team


We deliver a personalized and exceptional claim experience for our customers through continuous process improvements and data and technology solutions.  Our culture is one of collaboration, agility, engagement, diversity, and inclusivity, with focus on associate development. Our talented workforce includes claim examiners and specialists, nurse consultants, vocational rehabilitation consultants, consulting physicians and psychologists, and financial consultants.

The Impact

  • Adjudicate disability income and life waiver of premium claims of low to moderate complexity in adherence with policy provisions

  • Demonstrate critical thinking and proactively address outstanding claim requirements

  • Recommend initial and ongoing liability determinations, authorize and issue benefit payments as appropriate

  • Demonstrate exceptional customer service skills, both oral and written

  • Respond proactively and timely with claimants and other stakeholders

  • Demonstrate the ability and desire to handle issues independently, seeking guidance in highly complex situations


Minimum Qualifications

  • Associates Degree or 2+ years of Individual Disability Income Disability, Group Long Term Disability, or Long Term Care Claim Experience

  • 1+ years of customer service experience


Ideal Qualifications:

  • Associate’s or Bachelor’s degree

  • 3+ years of Individual Disability Income, Group Long Term Disability, or Long Term Care Claim experience

  • Investigative experience

  • Proven, exceptional customer service skills through oral and written communications are required in accordance with internal and regulatory standards

  • Must be flexible, able to work independently and self-driven

  • Detail focused with excellent time management skills

What to Expect as Part of MassMutual and the Team

  • Regular meetings with the DI Claims Team

  • Focused one-on-one meetings with your manager

  • Access to mentorship opportunities

  • Networking opportunities including access to Asian, Hispanic/Latinx, African American, women, LGBTQ, veteran and disability-focused Business Resource Groups

  • Access to learning content on Degreed and other informational platforms

  • Your ethics and integrity will be valued by a company with a strong and stable ethical nosiness with industry leading pay and benefits

#LI-RS1

MassMutual is an Equal Employment Opportunity employer Minority/Female/Sexual Orientation/Gender Identity/Individual with Disability/Protected Veteran. We welcome all persons to apply. Note: Veterans are welcome to apply, regardless of their discharge status.

If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need.
EEO Statement(Opens in new window)

MassMutual will accept applications on an ongoing basis until such time as a candidate has been offered employment.

Salary Range: $57,000.00-$71,800.00 Apply

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About MassMutual®

At MassMutual, we believe in the value of being together in our offices and in personal flexibility.

Our work environment is one where the majority of our team members work a hybrid schedule — working at least three days in the office (Tuesday, Wednesday and a third day) and the rest remotely, balancing flexibility with in-person collaboration. While the majority of our employees follow this hybrid model, some of our roles continue to be 100% on-site and others may be 100% remote, subject to business needs.

MassMutual is guided by a single purpose: We help people secure their future and protect the ones they love. As a company operated for the benefit of our members, policyowners and customers, we are defined by mutuality and our vision to put customers first. It’s more than our company structure – it’s our way of life. We are a company of people protecting people. Our company exists because people are willing to share risk and resources and rely on each other when it counts. At MassMutual, we Live Mutual.

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