Senior Disability Claims Specialist

Sedgwick Claims Management Services Ltd; Wisconsin; Híbrido; USD 80.000 - 110.000; Jornada completa

Descripción de la vacante

Sedgwick is seeking a Sr Disability Representative to assess and determine benefits based on medical documentation and disability plan interpretation. You will manage complex claims, coordinate referrals, and negotiate return to work with or without accommodations, ensuring timely payments and proper adjustments.

Strong ERISA knowledge and communication skills are essential. The role involves reviewing medical information, coordinating with providers, and maintaining client relationships in a

Formación

• Knowledge of ERISA regulations and disability offsets.
• Experience in managing complex disability claims and ADA accommodations.
• Strong communication and negotiation skills to interact with claimants and providers.

Responsabilidades

• Make independent claim determinations or recommendations on complex disability claims.
• Review complex medical information to determine disability as defined by plan.
• Coordinate referrals to outside vendors and physician advisors as needed.
• Negotiate return to work with or without accommodations and communicate status to claimants.

Conocimientos

ERISA knowledge

Disability claims processing

Analytical thinking

Communication skills

Negotiation

Educación

High School diploma or GED

Bachelor's degree preferred

State certification/licensing in statutory leaves preferred

Herramientas

Microsoft Office

Descripción del empleo

Sedgwick is seeking a Sr Disability Representative to assess and determine benefits based on medical documentation and disability plan interpretation. You will manage complex claims, coordinate referrals, and negotiate return to work with or without accommodations, ensuring timely payments and proper adjustments.

Strong ERISA knowledge and communication skills are essential. The role involves reviewing medical information, coordinating with providers, and maintaining client relationships in a