The Guardian Life Insurance Company of America logo

Appeals Case Manager II

Job Overview

Location

Remote - United States

Job Type

Full-time

Category

HR & Recruiting

Date Posted

April 18, 2026

Full Job Description

đź“‹ Description

  • • As an Appeals Case Manager II, Group Disability Claims at The Guardian Life Insurance Company of America, you will be responsible for adjudicating assigned appeals for Group Life and Disability claims, providing a full and fair reconsideration review as required under ERISA by thoroughly assessing claim files and applying plan provisions in accordance with applicable state and federal regulations.
  • • Day to day, you will utilize effective claim management skills to plan, implement, and execute investigations of disputed claims, ensure timely and compliant appeal resolution, identify and interpret relevant plan language, thoroughly investigate claim issues, evaluate medical, financial, and other claim information in consultation with clinical/vocational professionals, and maintain current knowledge of ERISA and Department of Labor guidelines.
  • • You will join a team supporting Group Short-Term Disability, Long-Term Disability, and Life Waiver of Premium appeals within a company committed to inspiring well-being through supportive, flexible, and inclusive benefits, surrounded by diverse colleagues with high ethical standards.
  • • In this role, you can develop expertise in disability claims adjudication, strengthen analytical and decision-making skills, deepen knowledge of ERISA and regulatory compliance, and grow professionally through skill-building and leadership development opportunities while working remotely with flexibility.

🎯 Requirements

  • • Minimum of 5 years of Group Disability and/or Life claims experience
  • • Minimum of 3 years of experience handling appeals or complex claims (preferred)
  • • Bachelor’s Degree (preferred) or equivalent professional experience
  • • Client focus with excellent verbal and written communication skills
  • • Strong problem-solving, analytical, math aptitude, and information research skills
  • • Demonstrated ability to manage multiple tasks in accordance with regulatory requirements

🏖️ Benefits

  • • Support and flexibility to achieve professional and personal goals
  • • Skill-building, leadership development, and philanthropic opportunities
  • • Contemporary, supportive, flexible, and inclusive benefits and resources as part of Guardian’s Purpose to inspire well-being
  • • Remote/flexible work arrangement with primarily home-based work and 0-10% possible travel
  • • Equal opportunity employer committed to access, equal opportunity, and reasonable accommodation for individuals with disabilities

Skills & Technologies

Remote
Degree Required

Ready to Apply?

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The Guardian Life Insurance Company of America logo
The Guardian Life Insurance Company of America
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About The Guardian Life Insurance Company of America

Guardian is a Fortune 250 mutual life insurer founded in 1860 and headquartered in New York City. It offers life, disability, dental, vision, and supplemental health insurance, along with retirement plans and investment products, to individuals, businesses, and institutions across the United States. The company operates through a network of financial representatives, brokers, and strategic partnerships. As a mutual insurer, Guardian is owned by its policyholders and focuses on long-term policyholder value rather than short-term shareholder returns.

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