# Disability Representative Sr

**Company**: Sedgwick
**Experience**: senior
**Job type**: full-time
**Salary**: $23.00 - $25.00 USD Hourly
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Eden-Prairie-MN/Disability-Representative-Sr_R78269-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_5e3bfb59-e95

## Description

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

As a Disability Representative Sr, your primary purpose will be to provide disability case management and complex claim determinations based on medical documentation and applicable disability plan interpretation.

**Key Responsibilities:**

- Make independent claim determinations to approve complex disability claims or recommend denial based on disability plans

- Review and analyse complex medical information to determine if claimants are disabled as defined by the disability plan

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

- Utilise clinical resources in case assessments as needed

- Determine benefits due and make timely claims payments/approvals and adjustments

- Communicate with claimants, providers, and clients on all aspects of the claims process

- Coordinate investigative efforts and thoroughly review contested claims

- Evaluate and arrange referrals of claims to outside vendors or physician advisor reviews

- Negotiate return to work with or without job accommodations

- Maintain professional client relationships and provide excellent customer service

**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 skills

- Proficient computer skills, including Microsoft Office

- Analytical, interpretive, and critical thinking skills

- Ability to manage ambiguity and meet performance competencies

**What We Offer:**

- Competitive salary range: $23.00 - $25.00 USD Hourly

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

## Skills

### Required
- ERISA regulations
- disability duration and medical management practices
- Social Security application procedures
- 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_R78269-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)