# Disability Clinical Specialist

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

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-IA/Disability-Clinical-Specialist_R78895?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_fc6e7bc0-9ba

## Description

By joining Sedgwick, you'll be part of a global organisation that helps people facing unexpected challenges.

As a Disability Clinical Specialist, your primary purpose will be to perform standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and complexity.

**Responsibilities:**

- Perform standard clinical reviews of referred medical claims to ensure accurate and sufficient information is received by employees and providers to support the claim request

- Complete medical reviews of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information substantiates disability

- Communicate clearly and professionally with employees and providers to discuss clinical status, progress, and work status

- Provide clear and appropriate follow-up recommendations for ongoing medical management of claims

- Consistently achieve quality audit scores

- Act as a clinical resource to claims examiners to provide guidance on medical management of claims

**Additional Responsibilities:**

- Act as a backup for key disability claims on an ad hoc basis

- Perform other duties as assigned

- Travel as required

**Qualifications:**

- Bachelor's degree or equivalent preferred

- Current RN, LVN, LPN, CRC, COHN CVE, LPC and/or LCSW Licenses required

- Four years of related experience or equivalent combination of experience and education

- Knowledge of current medical practices in healthcare management

- Excellent oral and written communication skills

- Proficient computer skills, including Microsoft Office

- Analytical and interpretive skills

- Strong organisational and multitasking skills

- Excellent interpersonal skills

- Ability to exercise judgement and critical thinking skills

## Skills

### Required
- clinical evaluation
- medical documentation
- communication skills
- analytical skills
- organisational skills

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-IA/Disability-Clinical-Specialist_R78895?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)