# Disability Representative Sr

**Company**: Sedgwick
**Location**: Orlando, FL
**Work arrangement**: hybrid
**Experience**: senior
**Job type**: full-time
**Salary**: $22.00 - $25.00 USD Hourly
**Category**: Human Resources
**Industry**: Consulting

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Orlando-FL/Disability-Representative-Sr_R70484?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_90d5361b-870

## 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 join our team in Orlando, Florida.

**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 disability plan

- Reviews and analyses complex medical information to determine claimant disability

- Oversees additional facets of complex claims, including comorbidities 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 throughout the claims process

- Coordinates investigative efforts and reviews contested claims

- Evaluates and arranges referrals of claims to outside vendors

- 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 preferred

- Knowledge of ERISA regulations, disability duration, and medical management practices

- Excellent oral and written communication skills

- Proficient computer skills, including Microsoft Office

- Analytical, interpretive, and critical thinking skills

**Work Environment:**

- Hybrid work arrangement with onsite collaboration

- Must live near one of our centres of excellence, including Orlando, FL

**Benefits:**

- Comprehensive benefits package, including medical, dental, vision, 401k, and matching

- Flexible spending or health savings account

- Employee assistance programme

- Disability and life insurance

**Salary Range:** $22.00 - $25.00 USD Hourly

## Skills

### Required
- ERISA regulations
- disability duration
- medical management practices
- Social Security application procedures
- state and federal FMLA regulations
- medical terminology
- Microsoft Office
- analytical skills
- interpretive skills
- critical thinking 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/Orlando-FL/Disability-Representative-Sr_R70484?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)