Senior Disability Claims Specialist

NADR; Eden Prairie (MN); On-site; USD 28,000 - 40,000; Full time

Job summary

Sedgwick in Eden Prairie, MN is seeking a Disability Representative Sr to assess complex medical documentation, determine benefits, and manage payments under disability plans. This role coordinates with providers, vendors, and claimants to ensure accurate ongoing benefits and timely decisions.

You will analyze medical information, communicate clearly with claimants and clients, and navigate ERISA regulations and Social Security procedures.

Qualifications

• Bachelor's degree preferred.
• Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience required.
• Knowledge of ERISA regulations and disability duration practices; strong communication and analytical abilities.

Responsibilities

• Analyzes, approves and authorizes assigned claims and determines benefits due.
• Reviews complex medical information to determine disability status per plan.
• Communicates with claimants' providers about return-to-work expectations.
• Determines benefits due and processes payments/adjustments; coordinates external referrals as needed.
• Negotiates return-to-work with or without accommodations; maintains client relationships.

Skills

ERISA knowledge

Medical terminology

Communication skills

MS Office

Analytical skills

Organizational skills

Team player

Negotiation skills

Performance competencies

Education

Bachelor's degree

3 years of disability experience

Tools

MS Office

Job description

Sedgwick in Eden Prairie, MN is seeking a Disability Representative Sr to assess complex medical documentation, determine benefits, and manage payments under disability plans. This role coordinates with providers, vendors, and claimants to ensure accurate ongoing benefits and timely decisions.

You will analyze medical information, communicate clearly with claimants and clients, and navigate ERISA regulations and Social Security procedures.