# 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_R79442?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/jobs/job_c45c8ab7-798 ## 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 concurrent plans - Utilise clinical resources in case assessment as needed - Determine benefits due and make timely claims payments/approvals and adjustments - Inform claimants of documentation required to process claims and communicate with providers - Medically manage complex disability claims and negotiate return to work with or without job accommodations - Coordinate investigative efforts and evaluate claims for referral to outside vendors - 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 preferred - Knowledge of ERISA regulations, disability duration and medical management practices, and Social Security application procedures - Excellent oral and written communication skills and proficient computer skills, including Microsoft Office - Analytical, interpretive, and critical thinking skills, with ability to manage ambiguity and meet performance competencies **Work Environment:** - Ability to sit at a desk for extended periods while operating a computer and phone system - Travel as required ## Skills ### Required - ERISA regulations - disability duration and medical management practices - Social Security application procedures - Microsoft Office - analytical and critical thinking 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/Dubuque-IA/Disability-Representative-Sr_R79442?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)