Disability Representative

NADR; Cedar Rapids (IA); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Hybrid work model

Training program

Mentor guidance

Career development

Job summary

Sedgwick in Cedar Rapids, IA is hiring a Disability Representative to join a collaborative team in a hybrid work environment. This role focuses on disability case management, claims determinations, and ensuring timely payments while supporting employees and clients.

The ideal candidate has strong communication, knowledge of ERISA and FMLA, and the ability to coordinate with providers, vendors, and managers to drive positive outcomes and excellent service.

Qualifications

• High school diploma or GED required.
• Two years related experience; one year customer service.
• Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
• Excellent written and spoken communication; MS Office proficiency.

Responsibilities

• Makes claim determinations and approves routine disability claims or recommends denial based on the disability plan.
• Reviews routine medical information to determine disability per the plan.
• Determines benefits due and processes timely payments/adjustments.
• Informs claimants of required documentation, timelines, and status.
• Communicates with claimants' providers to set expectations on return to work.
• Medically manages routine disability claims ensuring compliance with duration guidelines.
• Communicates with claimant and client on all aspects of the claims process.
• Coordinates outside referrals and physician advisor reviews as needed.
• Negotiates return to work with or without accommodations.
• Meets quality program minimum requirements and provides excellent customer service.

Skills

ERISA regs

FMLA regs

Medical terminology

Communication skills

MS Office

Analytical thinking

Organizational skills

Team player

Decision making

Judgement

Education

High school diploma or GED

Tools

Microsoft Office Suite

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Disability Representative

Disability Representative

Disability Representative

Our teams thrive together!

We collaborate in person and embrace a flexible hybrid work style. To join us, you'll need to live near one of our dynamic Centers of Excellence Cedar Rapids, IA : 333 1st Street SE Ste.200 Cedar Rapids IA 52401

What we offer:

• A stable, consistent work environment-both in-office and virtual
• A comprehensive training program to help you support employees and customers from some of the world's most respected brands
• A dedicated mentor and manager to guide you every step of your career journey
• Career development and promotional opportunities as you take on new responsibilities
• A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being

Your next big opportunity starts here-are you ready to join us?

ARE YOU AN IDEAL CANDIDATE?

We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused

PRIMARY PURPOSE:

Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors.

ARE YOU AN IDEAL CANDIDATE?

We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
• Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan.
• Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly.
• Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
• Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system.
• Communicates with the claimants' providers to set expectations regarding return to work.
• Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions.
• Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.
• Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.
• Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
• Negotiates return to work with or without job accommodations via the claimant's physician and employer.
• Refers cases as appropriate to team lead and clinical case management to assist with claim determination.
• Meets the organization's quality program(s) minimum requirements.
• Maintains professional client relationships and provides excellent customer service.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred.

Skills & Knowledge

• Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
• Knowledge of state and federal FMLA regulations
• Working knowledge of medical terminology and duration management
• Excellent oral and written communication, including presentation skills
• Proficient computer skills including working knowledge of Microsoft Office
• Analytical, interpretive, and critical thinking skills
• Strong organizational and multitasking skills
• Ability to work in a team environment
• Ability to meet or exceed performance competencies as required by program
• Effective decision-making and negotiation skills
• Ability to exercise judgement with limited supervision

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required

Auditory/Visual: Hearing, vision and talking

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.