Senior Disability Claims Strategist

Sedgwick; Chicago (IL); On-site; USD 32,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, vision

401k with matching

PTO and life insurance

Job summary

Sedgwick in Chicago seeks a Disability Representative Sr. to manage complex disability claims, determine benefits, and make timely payments per plan interpretations.

You’ll review medical documentation, determine disability status, and coordinate clinical input for claim decisions. You will negotiate return-to-work with or without accommodations, coordinate referrals to outside vendors, and maintain professional client relationships while upholding Sedgwick’s service standards and quality

Qualifications

• Three years of benefits or disability claims management experience.
• Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures

Responsibilities

• Make independent claim determinations to approve complex disability claims or deny claims based on disability plan.
• Review complex medical information to determine if claimant is disabled as defined by plan.
• Coordinate ADA accommodations and return-to-work discussions.
• Communicate claims status and requirements to claimants and providers.
• Coordinate referrals to outside vendors and clinical reviews.

Skills

ERISA knowledge

FMLA knowledge

Medical terminology

Communication skills

Microsoft Office

Analytical thinking

Decision making

Negotiation skills

Teamwork

Autonomy

Education

High School diploma or GED

Bachelor's degree

State certification or licensing in statutory leaves

Job description

Sedgwick in Chicago seeks a Disability Representative Sr. to manage complex disability claims, determine benefits, and make timely payments per plan interpretations.

You’ll review medical documentation, determine disability status, and coordinate clinical input for claim decisions. You will negotiate return-to-work with or without accommodations, coordinate referrals to outside vendors, and maintain professional client relationships while upholding Sedgwick’s service standards and quality