PLADS Appeals Consultant

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a PLADS Appeals Consultant based in United States.

This role sits at the intersection of claims analysis, regulatory compliance, and customer advocacy within a highly structured insurance environment. The Appeals Consultant is responsible for reviewing complex disability and life benefit appeals, ensuring decisions are accurate, well-documented, and fully compliant with ERISA and other applicable regulations. You will analyze medical, vocational, and policy-related information to support fair and timely determinations that directly impact claimants and employers. The role requires close collaboration with clinical experts, legal teams, and internal stakeholders to resolve high-complexity cases. It is a detail-driven position that demands strong analytical thinking, disciplined documentation, and sound judgment. This is an opportunity to contribute to a mission-driven organization focused on delivering reliable financial protection when people need it most.

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a PLADS Appeals Consultant based in United States.

This role sits at the intersection of claims analysis, regulatory compliance, and customer advocacy within a highly structured insurance environment. The Appeals Consultant is responsible for reviewing complex disability and life benefit appeals, ensuring decisions are accurate, well-documented, and fully compliant with ERISA and other applicable regulations. You will analyze medical, vocational, and policy-related information to support fair and timely determinations that directly impact claimants and employers. The role requires close collaboration with clinical experts, legal teams, and internal stakeholders to resolve high-complexity cases. It is a detail-driven position that demands strong analytical thinking, disciplined documentation, and sound judgment. This is an opportunity to contribute to a mission-driven organization focused on delivering reliable financial protection when people need it most.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

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