Senior Disability Claims Specialist

Sedgwick Claims Management Services Ltd; Iowa; Hybrid; USD 30,000 - 33,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k

PTO

Disability insurance

Life insurance

Employee assistance program

FSA/HSA

Job summary

Sedgwick is seeking a Sr Disability Representative in Iowa to manage disability claims and determine benefits under complex medical documentation and plan rules. You will review medical information, coordinate with providers, negotiate return to work, and ensure timely payments while upholding ERISA compliance and client service standards.

Strong communication, analytical skills and ability to work in a team are essential, with a comprehensive benefits package offered.

Qualifications

• Bachelor's degree preferred.
• Three years of benefits or disability case/claims management experience required.
• Knowledge of ERISA regulations, offsets and deductions, disability duration and SSA processes.
• Excellent written and verbal communication; MS Office proficiency.

Responsibilities

• Analyzes, approves and authorizes assigned claims and determines benefits due.
• Reviews complex medical information to determine disability status.
• Coordinates investigations and referrals to outside vendors or physician reviews.
• Negotiates return to work with or without accommodations.
• Maintains professional client relationships.

Skills

ERISA regulations

Medical terminology

Communication

Microsoft Office

Analytical

Organizational skills

Team environment

Negotiation

Performance competencies

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick is seeking a Sr Disability Representative in Iowa to manage disability claims and determine benefits under complex medical documentation and plan rules. You will review medical information, coordinate with providers, negotiate return to work, and ensure timely payments while upholding ERISA compliance and client service standards.

Strong communication, analytical skills and ability to work in a team are essential, with a comprehensive benefits package offered.