Disability Case Manager - Hybrid, Growth & Training

NADR; California; Hybrid; USD 30,000 - 33,000; Full time

Benefits offered by this job

Stable work environment

Comprehensive training program

Mentor and manager

Career development opportunities

Diverse benefits package

Job summary

Sedgwick seeks a Disability Representative in California to provide disability case management and routine claim determinations based on medical documentation and plan interpretation. You will determine benefits, review medical information, negotiate return-to-work, coordinate referrals, and communicate clearly with claimants and providers, in a hybrid West Hills office near CA.

We offer stable in-office and virtual work, comprehensive training, a mentor, career development, and a diverse

Qualifications

• Knowledge of ERISA regulations, offsets and deductions.
• Understanding of state and federal FMLA regulations.
• Working knowledge of medical terminology and duration management.
• Strong written and oral communication skills.

Responsibilities

• Makes claim determinations to approve routine disability claims or recommends denial.
• Reviews medical information and consults with a nurse to determine disability status.
• Determines benefits due and processes payments and adjustments.
• Communicates with claimants and providers to explain documentation and status.
• Negotiates return to work with or without accommodations.
• Maintains client relationships and delivers customer service.

Skills

ERISA regulations knowledge

FMLA regulations knowledge

Medical terminology

Communication skills

Microsoft Office

Analytical thinking

Organization

Teamwork

Decision-making

Negotiation

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Sedgwick seeks a Disability Representative in California to provide disability case management and routine claim determinations based on medical documentation and plan interpretation. You will determine benefits, review medical information, negotiate return-to-work, coordinate referrals, and communicate clearly with claimants and providers, in a hybrid West Hills office near CA.

We offer stable in-office and virtual work, comprehensive training, a mentor, career development, and a diverse