Senior Disability Claims Advocate

Sedgwick Claims Management Services Ltd; Cedar Rapids (IA); On-site; USD 29,000 - 32,000; Full time

Benefits offered by this job

Medical, dental, vision

401k with match

PTO

Life insurance

Employee assistance program

FSAs/HSA

Job summary

Sedgwick Claims Management Services Ltd in Cedar Rapids, IA seeks an Sr Disability Representative to analyze and adjudicate disability claims, coordinating with providers and clients. You will review medical data, determine benefits, and manage timely payments while negotiating effective return-to-work solutions.

The role emphasizes compliance with disability plans, communication with claimants, and collaboration with a team to ensure accurate determinations and successful case outcomes.

Qualifications

• Bachelor's degree preferred.
• Knowledge of ERISA regulations, offsets and deductions.
• Experience in benefits or disability claims management desired.
• Strong communication and negotiation abilities are essential.

Responsibilities

• Analyze, approve and authorize claims and determine benefits due.
• Review complex medical information to assess disability status.
• Coordinate return-to-work discussions with providers and employers.
• Negotiate accommodations and referrals as needed.
• Maintain client relationships and document claims status clearly.

Skills

ERISA regulations knowledge

Medical terminology

Communication skills

Negotiation

Analytical skills

Organization

Teamwork

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick Claims Management Services Ltd in Cedar Rapids, IA seeks an Sr Disability Representative to analyze and adjudicate disability claims, coordinating with providers and clients. You will review medical data, determine benefits, and manage timely payments while negotiating effective return-to-work solutions.

The role emphasizes compliance with disability plans, communication with claimants, and collaboration with a team to ensure accurate determinations and successful case outcomes.