Advocacy Claims Specialist – FMLA & Disability

Sedgwick Claims Management Services Ltd; Indiana; On-site; USD 27,000 - 32,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k and matching

PTO

Disability and life insurance

Employee assistance

FSA/HSA

Other voluntary benefits

Job summary

Sedgwick Claims Management Services Ltd seeks an Advocacy Coordination Team Specialist to research, resolve, and administer escalated inquiries across lines of business, including FMLA, disability, and leave claims. You will interpret regulations, process benefits, and manage cases with care and accuracy.

You will handle complex claims, communicate with claimants and clients, and work toward one-call resolution within a supportive, team-based environment. Monday–Friday, CST schedule applies.

Qualifications

• High school diploma or GED required; bachelor's degree preferred.
• 3 years of related experience; 2+ years in disability claims.
• Knowledge of ERISA/state/federal regulations and claims processing.

Responsibilities

• Make independent claim determinations and approvals or denials.
• Analyze and authorize leave, accommodations, disability, and statutory claims.
• Enter and adjust payments; support payment research and resolution.
• Communicate clearly with claimants and clients about status and requirements.

Skills

Customer service

ERISA knowledge

FMLA knowledge

Disability claims

Analytical thinking

Communication

De-escalation

Microsoft Office

Decision making

Teamwork

Education

High school diploma

Bachelor's degree preferred

Tools

SMART

SIR

GAIN

TAMS

Juris

viaOne express

mySedgwick

Job description

Sedgwick Claims Management Services Ltd seeks an Advocacy Coordination Team Specialist to research, resolve, and administer escalated inquiries across lines of business, including FMLA, disability, and leave claims. You will interpret regulations, process benefits, and manage cases with care and accuracy.

You will handle complex claims, communicate with claimants and clients, and work toward one-call resolution within a supportive, team-based environment. Monday–Friday, CST schedule applies.