Disability Representative

Sedgwick Claims Management Services Ltd; Chicago (IL, MO); Hybrid; USD 43,000 - 48,000; Full time

Job summary

Sedgwick seeks a Disability Representative in Chicago, IL to process disability claims and determine benefits, ensuring timely payments for workers’ compensation, SSDI, and related offsets. You will communicate clearly with claimants and collaborate with the team in a hybrid work setting near our Center of Excellence.

The role requires a high school diploma or GED (college preferred) and 2 years of related experience, including 1 year in office or customer service; 1 year in benefits/claims is a

Qualifications

• High school diploma or GED required; college preferred.
• Two years of related experience; one year in office or customer service.
• One year of benefits or claims management experience preferred.
• Excellent oral and written communication; PC literate including Microsoft Office.
• Analytical, organized, and able to work in a team.

Responsibilities

• Makes claim determinations to approve non-complex disability claims or recommends denial.
• Determines benefits due and processes timely payments and adjustments.
• Explains required documentation and timelines to claimants by phone or written correspondence.
• References cases to team lead and maintains professional client relationships.
• Supports the organization's quality program and performs other duties as assigned.

Skills

Communication

Teamwork

Time management

Analytical thinking

Education

High school diploma or GED

College preferred

Tools

Microsoft Office

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

Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style.

To join us, you’ll need to live near our dynamic Center of Excellence Chicago, IL 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604.

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?

Primary Purpose

To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.

Essential Functions and Responsibilities

• Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
• 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 either by phone, written correspondence and/or claims system.
• Refers cases as appropriate to team lead; maintains professional client relationships.

Additional Functions and Responsibilities

• Performs other duties as assigned.
• Supports the organization's quality program(s).

Qualifications

Education & Licensing

High school diploma or GED required. College preferred.

Experience

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

Skills & Knowledge

Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Ability to meet or exceed Performance Competencies

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: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking

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

Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (r21.82). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected.

The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.

With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

For more, see sedgwick.com