Disability Representative Sr

Sedgwick Claims Management Services Ltd; California; Hybrid; USD 33,000 - 34,000; Full time

Benefits offered by this job

Medical, dental, vision

401k with matching

PTO

Disability and life insurance

Employee assistance program

FSAs/HSA

Job summary

Sedgwick Claims Management Services Ltd is seeking a Disability Representative Sr to manage complex disability claims, review medical information, determine benefits per the plan, and coordinate return-to-work efforts. The role requires strong knowledge of ERISA and FMLA, and the ability to communicate clearly with claimants and providers.

The position emphasizes independent decision making, adherence to duration guidelines, and collaboration with team leads.

Qualifications

• High School diploma or GED required.
• Bachelor's degree from an accredited university or college preferred.
• State certification or licensing in statutory leaves is preferred or may be required based on state regulations.

Responsibilities

• Makes independent claim determinations to approve complex disability claims or recommends denial.
• Reviews complex medical information to determine disability per plan definitions.
• Oversees comorbidities, concurrent plans, and ADA accommodations in complex claims.
• Determines benefits due and ensures timely payments/adjustments.
• Negotiates return to work with or without accommodations.

Skills

ERISA regulations

FMLA regulations

Medical terminology

Microsoft Office

Analytical thinking

Negotiation skills

Communication skills

Team collaboration

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Disability Representative Sr**PRIMARY PURPOSE**: Provides disability case management and complex 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 including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors.**ESSENTIAL FUNCTIONS and RESPONSIBILITIES*** Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.* Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan.* Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines.* Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed.* Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals 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 complex 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 to team lead and clinical case management for additional review when appropriate.* Maintains professional client relationships and provides excellent customer service.* Meets the organization’s quality program(s) minimum requirements.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES*** Performs other duties as assigned.**QUALIFICATIONS****Education & Licensing** High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.**Experience** Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and 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* Ability to manage ambiguity* 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 autonomously within established procedures**WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations.**Mental****:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, 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 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 specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $24.00 - $25.00 USD Hourly. 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.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.Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.