Disability Representative

Sedgwick Claims Management Services Ltd; Orlando, Northern (FL, KY); Hybrid; USD 25,000 - 35,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k and matching

PTO

Disability and life insurance

Employee assistance

FSA/HSA

Other voluntary benefits

Job summary

Sedgwick Claims Management Services Ltd is seeking a Disability Representative in Orlando to process disability claims, determine benefits, and ensure timely payments and adjustments. The role involves informing claimants about required documentation and status, while maintaining professional client relationships with clients and teams.

The position emphasizes accuracy, teamwork, and adherence to disability plans, with opportunities to grow within a leading claims administration organization

Qualifications

• High school diploma or GED required; college preferred.
• Two years of related experience; one year in benefits or claims management preferred.
• Excellent oral and written communication; MS Office proficiency; analytical and interpretive skills; strong organizational abilities; team-oriented.

Responsibilities

• Make claim determinations to approve non-complex disability claims or recommend denial based on the disability plan.
• Determine benefits due, make timely claim payments and adjustments for workers compensation, SSDI, and other offsets.
• Inform claimants of required documentation, time frames, payment information and claim status by phone, mail, or claims system.
• Refer cases to team lead as appropriate; maintain professional client relationships.

Skills

Oral and written communication

PC literate

Analytical skills

Organizational skills

Teamwork

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.

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

• Make claim determinations to approve non-complex disability claims or make a recommendation to team lead to deny claims based on the disability plan.
• Determine benefits due, make 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.

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. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 21.82.

BENEFITS

• Medical
• Dental
• Vision
• 401k and matching
• PTO
• Disability and life insurance
• Employee assistance
• Flexible spending or health savings account
• 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.

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