# Disability Representative Sr

**Company**: Sedgwick
**Location**: Southfield, MI
**Work arrangement**: hybrid
**Experience**: senior
**Job type**: full-time
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Southfield-MI/Disability-Representative-Sr_R79556?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_de909837-e67

## 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

- Review and analyse complex medical information to determine if the claimant is disabled

- 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

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

- Coordinate investigative efforts and negotiate return to work with or without job accommodations

- Evaluate and arrange referrals to outside vendors or physician advisor reviews

**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

- 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 Sedgwick's centres of excellence

**Benefits:**

- (No benefits mentioned)

## 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

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Southfield-MI/Disability-Representative-Sr_R79556?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)