# Disability Representative Sr **Company**: Sedgwick **Location**: Cedar Rapids, IA **Work arrangement**: hybrid **Experience**: senior **Job type**: full-time **Category**: Human Resources **Industry**: Consulting **Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Cedar-Rapids-IA/Disability-Representative-Sr_R70485?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/jobs/job_9e1b711e-484 ## Description By joining Sedgwick, you'll be part of a global organisation that helps people facing unexpected challenges. As a Disability Representative Sr, you will provide disability case management and complex claim determinations based on medical documentation and applicable disability plan interpretations. **Responsibilities:** - Make independent claim determinations to approve complex disability claims or recommend denying claims based on the disability plan - Review and analyse complex medical information to determine if the claimant is 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 throughout 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 work in a team environment **Work Environment:** - Hybrid work environment with on-site collaboration near Sedgwick's Centers of Excellence in Cedar Rapids, Iowa - Ability to sit at a desk for extended periods while operating a computer and phone system; travel as required ## 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 --- Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Cedar-Rapids-IA/Disability-Representative-Sr_R70485?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)