Senior Disability Claims Specialist

Sedgwick; Irving (TX); On-site; USD 28,929 - 34,440; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401k and matching

Paid time off (PTO)

Disability and life insurance

Employee assistance programs

Job summary

Sedgwick in Irving, TX is seeking a Senior Disability Representative to manage complex disability claims and make thorough determinations based on medical documentation. The role involves benefit approvals, coordinating with external vendors, and ensuring compliance with regulations.

The ideal candidate will possess strong analytical and communication skills to effectively manage claimant relationships and provide excellent service. A Bachelor's degree is preferred, and prior experience in claims management is essential.

Qualifications

• Three years of benefits or disability case/claims management experience preferred.
• State certification or licensing in statutory leaves preferred.

Responsibilities

• Provide disability case management and claim determinations.
• Make claim determinations based on medical documentation.
• Communicate with claimants and providers regarding claims process.

Skills

Knowledge of ERISA regulations

Excellent oral and written communication

Proficient computer skills

Analytical and critical thinking skills

Ability to manage ambiguity

Strong organizational skills

Effective decision-making skills

Education

High School diploma or GED

Bachelor's degree from accredited university

Tools

Microsoft Office

Job description

Sedgwick in Irving, TX is seeking a Senior Disability Representative to manage complex disability claims and make thorough determinations based on medical documentation. The role involves benefit approvals, coordinating with external vendors, and ensuring compliance with regulations.

The ideal candidate will possess strong analytical and communication skills to effectively manage claimant relationships and provide excellent service. A Bachelor's degree is preferred, and prior experience in claims management is essential.