# Disability Representative Sr

**Company**: Sedgwick
**Experience**: senior
**Job type**: full-time
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Dubuque-IA/Disability-Representative-Sr_R78773?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_bb993e75-302

## 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.

**Key Responsibilities:**

- Make independent claim determinations to approve or deny complex disability claims

- Review and analyze complex medical information to determine if a claimant is disabled according to the disability plan

- Oversee additional facets of complex claims, such as comorbidities and concurrent plans

- Utilize clinical resources in case assessments as needed

- Determine benefits due and make timely claims payments and adjustments

- Communicate with claimants, providers, and clients throughout the claims process

- Coordinate investigative efforts and review contested claims

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

- Negotiate return-to-work plans with or without job accommodations

**Requirements:**

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

- Three years of benefits or disability case management experience preferred

- 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

**Work Environment:**

- Sedgwick considers reasonable accommodations when applicable and appropriate

- Ability to sit at a desk for extended periods while operating a computer and phone system; travel may be 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
- three years of benefits or disability case management experience

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Dubuque-IA/Disability-Representative-Sr_R78773?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)