Senior Disability Case Manager - Hybrid

Sedgwick; Southfield (MI); Hybride; USD 70 000 - 90 000; Plein temps

Résumé du poste

Sedgwick, based in the Southfield, MI area, is seeking a Senior Disability Representative to manage complex disability claims. You will interpret medical documentation and plan provisions to determine benefits and approvals, including arranging timely payments and return-to-work strategies.

The role emphasizes accuracy, collaboration, and strong client service. On-site with hybrid work arrangements, ideal for candidates near center of excellence in Michigan.

Qualifications

• High School diploma or GED required; bachelor's degree preferred.
• 3 years of benefits or disability case/claims management experience.
• Knowledge of ERISA regulations, FMLA regulations, and Social Security procedures.

Responsabilités

• Makes independent claim determinations on complex disability claims.
• Reviews medical information to determine disability status.
• Oversees comorbidities, concurrent plans, and complex ADA accommodations.
• Determines benefits due and processes timely payments/adjustments.
• Communicates with claimants and providers about status and requirements.
• Coordinates referrals to outside vendors and physician advisors.
• Maintains professional client relationships and ensures quality service.

Connaissances

ERISA regulations knowledge

Disability claim management

Communication skills

Negotiation skills

Analytical thinking

Team collaboration

Formation

High School diploma or GED

Bachelor's degree preferred

State certification/licensing in statutory leaves preferred

Outils

Microsoft Office

Description du poste

Sedgwick, based in the Southfield, MI area, is seeking a Senior Disability Representative to manage complex disability claims. You will interpret medical documentation and plan provisions to determine benefits and approvals, including arranging timely payments and return-to-work strategies.

The role emphasizes accuracy, collaboration, and strong client service. On-site with hybrid work arrangements, ideal for candidates near center of excellence in Michigan.