Disability Representative

Sedgwick • Dubuque, IA

335d

About The Position

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Requirements

• High school diploma or GED required.
• Two (2) years of related experience or equivalent combination of education and experience required.
• One (1) year of office or customer service experience required.
• Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices.
• Excellent oral and written communication skills.
• Proficient computer skills including working knowledge of Microsoft Office.
• Strong organizational and multitasking skills.
• Ability to work in a team environment.

Nice To Haves

• One (1) year of benefits or claims management experience preferred.
• Knowledge of state and federal FMLA regulations.
• Working knowledge of medical terminology and duration management.

Responsibilities

• Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation.
• Determines benefits due and makes timely payments/approvals and adjustments.
• Medically manages disability claims; coordinates investigative efforts, thoroughly reviewing contested claims.
• Negotiates return to work with or without job accommodations.
• Evaluates and arranges appropriate referral of claims to outside vendors.
• Makes claim determinations based on the information received.
• Reviews and analyzes routine medical information or consults with a nurse to determine if the claimant is disabled.
• Utilizes appropriate clinical resources in case assessment.
• Informs claimants of documentation required to process claims and claims status.
• Communicates with the claimants’ providers to set expectations regarding return to work.
• Maintains professional client relationships and provides excellent customer service.

Benefits

• Diverse and comprehensive benefits package including medical, dental, vision, 401K, PTO and more.
• World class training program with a comprehensive curriculum.
• Assigned mentor and manager that will support and guide you on your career journey.
• Career development and promotional growth opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED