# Disability Representative Sr

**Company**: Sedgwick
**Location**: Eden Prairie, MN
**Work arrangement**: hybrid
**Experience**: senior
**Job type**: full-time
**Salary**: $21.00 - $25.00 USD Hourly
**Category**: Human Resources
**Industry**: Consulting

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Eden-Prairie-MN/Disability-Representative-Sr_R70499?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_3b468fc7-296

## Description

By joining Sedgwick, you'll be part of a global organisation that helps people facing unexpected challenges.

We're looking for a Disability Representative Sr to work in our hybrid environment with on-site collaboration near our Center of Excellence in Eden Prairie, Minnesota.

**Primary Purpose:** Provides disability case management and complex claim determinations based on medical documentation and applicable disability plan interpretation.

**Key Responsibilities:**

- Makes independent claim determinations to approve complex disability claims or recommends denial based on the disability plan.

- Reviews and analyses complex medical information to determine if the claimant is disabled as defined by the disability plan.

- Oversees additional facets of complex claims, including comorbidities, concurrent plans, and complex ADA accommodations.

- Utilises clinical resources in case assessment as needed.

- Determines benefits due and makes timely claims payments/approvals and adjustments.

- Communicates with claimants, providers, and clients on all aspects of claims process.

- Coordinates investigative efforts and thoroughly reviews contested claims.

- Evaluates and arranges referrals of claims to outside vendors or physician advisor reviews.

- Negotiates return to work with or without job accommodations.

**Requirements:**

- High school diploma or GED required; bachelor's degree preferred.

- Three years of benefits or disability case/claims management experience or equivalent combination of education and experience.

- Knowledge of ERISA regulations, disability duration and medical management practices, and Social Security application procedures.

- Excellent oral and written communication, analytical, interpretive, and critical thinking skills.

- Proficient computer skills, including Microsoft Office.

**What We Offer:**

- Competitive salary: $21.00 - $25.00 USD Hourly

- Comprehensive benefits package, including medical, dental, vision, 401k and matching, PTO, disability and life insurance, and employee assistance programmes.

## Skills

### Required
- ERISA regulations
- disability case management
- medical terminology
- Microsoft Office
- analytical skills
- communication skills

### Nice to have
- bachelor's degree
- state certification or licensing in statutory leaves

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Eden-Prairie-MN/Disability-Representative-Sr_R70499?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)