# Disability Representative Sr **Company**: Sedgwick **Location**: Chicago, IL **Work arrangement**: hybrid **Experience**: senior **Job type**: full-time **Salary**: $24.00 - $26.00 USD Hourly **Category**: Human Resources **Industry**: Consulting **Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Chicago-IL/Disability-Representative-Sr_R70496?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/jobs/job_a84be1da-b52 ## 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 interpretation. **Responsibilities:** - Make independent claim determinations to approve complex disability claims or recommend denial based on disability plan - Review and analyse complex medical information to determine claimant disability - Oversee additional facets of complex claims, including comorbidities and complex ADA accommodations - Utilise clinical resources in case assessment as needed - Determine benefits due and make timely claims payments/approvals and adjustments - Communicate with claimants, providers, and clients on claims process and status - Medically manage complex disability claims and ensure compliance with duration control guidelines - Coordinate investigative efforts and 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 - Refer cases to team lead and clinical case management for additional review - Maintain professional client relationships and provide excellent customer service **Requirements:** - High school diploma or GED required; bachelor's degree preferred - 3+ years of benefits or disability case/claims management 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 **Benefits:** - Comprehensive benefits package, including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits **Salary:** $24.00 - $26.00 USD Hourly ## 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 --- Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Chicago-IL/Disability-Representative-Sr_R70496?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)