Senior Disability Claims Specialist - Hybrid

Sedgwick; South Portland (ME); Híbrido; USD 29.000 - 40.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

401k and matching

PTO

Disability and life insurance

Employee assistance

Flexible spending account

Health savings account

Descripción de la vacante

Sedgwick seeks an experienced Disability Representative Sr to manage complex disability claims, interpret medical documentation, and determine benefits under the disability plan. The role includes negotiating returns to work, coordinating with providers, and ensuring timely payments.

A strong background in ERISA, FMLA, and medical terminology is required, with a focus on client service. Candidates should have a High School diploma or GED, with a Bachelor's degree preferred, and at least three

Formación

• Knowledge of ERISA regulations, offsets and deductions.
• Understanding of FMLA regulations and disability practices.
• Proficiency in medical terminology and duration management.

Responsabilidades

• Make independent claim determinations on complex disability cases.
• Review complex medical information to determine disability status.
• Coordinate referrals to outside vendors or physician reviews.
• Negotiate return-to-work with employers and physicians.
• Maintain client relationships and meet quality standards.

Conocimientos

ERISA regulations

FMLA regulations

Medical terminology

Communication skills

Microsoft Office

Analytical thinking

Team player

Educación

High School diploma or GED

Bachelor's degree preferred

Descripción del empleo

Sedgwick seeks an experienced Disability Representative Sr to manage complex disability claims, interpret medical documentation, and determine benefits under the disability plan. The role includes negotiating returns to work, coordinating with providers, and ensuring timely payments.

A strong background in ERISA, FMLA, and medical terminology is required, with a focus on client service. Candidates should have a High School diploma or GED, with a Bachelor's degree preferred, and at least three