Disability Representative Sr

Sedgwick; Coralville (IA); On-site; USD 50,000 - 70,000; Full time

Job summary

Sedgwick is seeking a dedicated Disability Case Manager in Coralville, IA, responsible for managing complex disability claims. This role includes independent claim determinations, analyzing medical information, and negotiating return-to-work plans.

The ideal candidate will have a high school diploma (GED required), three years of relevant experience, and strong knowledge of ERISA regulations. Sedgwick offers a supportive work environment with a focus on professional development.

Qualifications

• Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience.
• State certification or licensing in statutory leaves preferred.

Responsibilities

• Make independent claim determinations based on the information received.
• Review and analyze complex medical information to determine if the claimant is disabled.
• Medically manage complex disability claims ensuring compliance with guidelines.

Skills

Knowledge of ERISA regulations

Excellent oral and written communication

Proficient computer skills

Analytical and critical thinking skills

Ability to manage ambiguity

Strong organizational skills

Effective decision-making skills

Education

High School diploma or GED

Bachelor's degree from an accredited university

Tools

Microsoft Office

Job description

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.

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 environmentAbility 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.

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.

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

Hearing, vision and talking.

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.

Equal Opportunity Employer

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