Senior Disability Claims Specialist

Sedgwick; Dublin (OH); On-site; USD 70,000 - 100,000; Full time

Job summary

Sedgwick, a leader in disability claims management, is seeking a Senior Disability Representative in Dublin, OH, to determine benefits and manage complex claims with medical documentation.

You will review medical data, coordinate ADA accommodations, and arrange referrals to vendors or physician advisors, ensuring timely payments and accurate decisions through clear communication and strong analytical skills.

Qualifications

• 3 years of disability claims management experience.
• Knowledge of ERISA regulations and FMLA.
• Proficient with Microsoft Office.

Responsibilities

• Make independent claim determinations to approve complex disability claims or recommend denial.
• Review complex medical information to determine disability status.
• Coordinate referrals to outside vendors or physician advisors.

Skills

ERISA knowledge

FMLA knowledge

Medical terminology

Communication

MS Office

Analytical thinking

Adaptability

Organizational skills

Team orientation

Decision making

Negotiation

Judgement

Education

High School diploma or GED

Bachelor's degree

Job description

Sedgwick, a leader in disability claims management, is seeking a Senior Disability Representative in Dublin, OH, to determine benefits and manage complex claims with medical documentation.

You will review medical data, coordinate ADA accommodations, and arrange referrals to vendors or physician advisors, ensuring timely payments and accurate decisions through clear communication and strong analytical skills.