Disability Claims Specialist — Meaningful Impact & Balance

Sedgwick; Irving (TX); On-site; USD 52,000 - 76,000; Full time

Job summary

Sedgwick seeks a Disability Representative in Irving, TX to manage disability claims end-to-end, review medical documentation, determine eligibility, and ensure timely benefit payments. The role collaborates with claimants, providers, and clients to uphold plan provisions and maintain service levels.

Applicants should have experience with disability or claims management, ERISA/FMLA familiarity, and strong communication skills.

Qualifications

• High school diploma or GED required; state certification in statutory leaves preferred.
• 2+ years in disability or claims management experience is a plus.
• Knowledge of ERISA and FMLA regulations is beneficial.

Responsibilities

• Make claim determinations on routine disability claims.
• Review medical information to determine disability status per plan.
• Determinable benefits and ensure timely payments/adjustments.
• Coordinate return-to-work discussions with claimants and employers.
• Communicate with providers and claimants regarding documentation and status.

Skills

Disability claims assessment

ERISA regulations

Communication skills

Return-to-work negotiations

Medical terminology

Claims processing

Education

High school diploma or GED

State certification/licensing in statutory leaves

Tools

Microsoft Office

Job description

Sedgwick seeks a Disability Representative in Irving, TX to manage disability claims end-to-end, review medical documentation, determine eligibility, and ensure timely benefit payments. The role collaborates with claimants, providers, and clients to uphold plan provisions and maintain service levels.

Applicants should have experience with disability or claims management, ERISA/FMLA familiarity, and strong communication skills.