Senior Disability Claims Specialist

Sedgwick; Cedar Rapids (IA); Presencial; USD 29.000 - 33.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental, Vision

401(k) with match

PTO

Descripción de la vacante

Sedgwick in Cedar Rapids, IA is seeking a Sr Disability Representative to manage complex disability claims with medical evidence, determine benefits, and coordinate return-to-work plans for clients. You’ll work with physicians, employers, and internal teams to ensure accurate, timely decisions while upholding regulatory standards.

Join a supportive, results-driven environment with a strong focus on customer service, professional growth, and a comprehensive benefits package.

Formación

• Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and SSDI 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.

Responsabilidades

• Makes independent claim determinations and approves complex disability claims or denies claims per plan guidance.
• Reviews complex medical info to determine disability status under the plan.
• Oversees comorbidities, concurrent plans and ADA accommodations on complex claims.
• Coordinates with clinicians and internal teams to ensure timely payments and adjustments.
• Notifies claimants of required docs, time frames, and status via phone or system.
• Negotiates return to work with or without accommodations with providers and employers.
• Maintains professional client relationships and ensures quality standards.

Conocimientos

ERISA knowledge

FMLA knowledge

Medical terminology

Communication skills

Office software

Analytical thinking

Teamwork

Decision making

Educación

Bachelor's degree

Licensing preferred

Herramientas

Microsoft Office

Descripción del empleo

Sedgwick in Cedar Rapids, IA is seeking a Sr Disability Representative to manage complex disability claims with medical evidence, determine benefits, and coordinate return-to-work plans for clients. You’ll work with physicians, employers, and internal teams to ensure accurate, timely decisions while upholding regulatory standards.

Join a supportive, results-driven environment with a strong focus on customer service, professional growth, and a comprehensive benefits package.