Senior Disability Claims Specialist

NADR; California; On-site; USD 36,000 - 39,000; Full time

Job summary

Sedgwick is hiring a Disability Representative Sr at our West Hills, CA center of excellence. You will manage complex disability claims, review medical records, and determine benefits in accordance with disability plans.

The role includes coordinating returns to work and negotiating accommodations with providers and employers. Ideal candidates have 3+ years in disability/benefits claims, strong ERISA knowledge, and solid communication skills to support claimants and clients in a fast-paced

Qualifications

• High School diploma or GED required; Bachelor's preferred.
• Three years of benefits or disability case/claims management experience.
• Knowledge of ERISA, FMLA, and disability duration practices.

Responsibilities

• Make independent claim determinations on complex disability claims.
• Review medical information to determine disability status per plan.
• Coordinate ADA accommodations and return-to-work efforts.
• Provide timely payments/adjustments and communicate with claimants.

Skills

Communication skills

ERISA knowledge

FMLA regulations

Medical terminology

Analytical thinking

Teamwork

Organization

Decision making

Education

High School diploma or GED

Bachelor's degree preferred

State certification/licensing in statutory leaves preferred

Tools

Microsoft Office

Job description

Sedgwick is hiring a Disability Representative Sr at our West Hills, CA center of excellence. You will manage complex disability claims, review medical records, and determine benefits in accordance with disability plans.

The role includes coordinating returns to work and negotiating accommodations with providers and employers. Ideal candidates have 3+ years in disability/benefits claims, strong ERISA knowledge, and solid communication skills to support claimants and clients in a fast-paced