CRC-Licensed Disability Claims Clinical Specialist

Sedgwick; Florida; On-site; USD 70,000 - 110,000; Full time

Job summary

Sedgwick invites you to join a team performing standard clinical evaluations on disability-related claims, partnering with providers and employees to ensure medical information supports absence decisions. The role requires CRC licensure and a Bachelor's degree, with an emphasis on clear communication and strong medical knowledge.

The position involves reviewing documentation, applying clinical judgment to disability impact, and guiding claims examiners with medical context while maintaining

Qualifications

• Bachelor's degree preferred; CRC license required.
• Strong written and verbal communication skills.
• Proficient with Microsoft Office and computer systems.
• Analytical and interpretive skills; ability to interpret medical information.

Responsibilities

• Perform clinical reviews of referred medical claims to ensure adequate information supports disability decisions.
• Review medical documentation and apply clinical knowledge to determine impact on job functions.
• Communicate with employees and providers to discuss clinical status and treatment status.
• Provide follow-up recommendations for medical management and claim handling.
• Serve as a clinical resource to claims examiners to interpret medical terminology.

Skills

Communication

Microsoft Office

Analytical skills

Organizational skills

Teamwork

Education

Bachelor's degree

CRC license required

Tools

None

Job description

Sedgwick invites you to join a team performing standard clinical evaluations on disability-related claims, partnering with providers and employees to ensure medical information supports absence decisions. The role requires CRC licensure and a Bachelor's degree, with an emphasis on clear communication and strong medical knowledge.

The position involves reviewing documentation, applying clinical judgment to disability impact, and guiding claims examiners with medical context while maintaining