Disability Representative

Disability RepresentativeBy joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceOur teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you'll need to live near one of our dynamic Centers of Excellence???? Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002What we offer:A stable, consistent work environmentboth in-office and virtualA comprehensive training program to help you support employees and customers from some of the world's most respected brandsA dedicated mentor and manager to guide you every step of your career journeyCareer development and promotional opportunities as you take on new responsibilitiesA diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-beingYour next big opportunity starts hereare you ready to join us?ARE YOU AN IDEAL CANDIDATE?We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.PRIMARY PURPOSE:Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors.ESSENTIAL FUNCTIONS and RESPONSIBILITIESMakes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan.Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan.Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly.Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system.Communicates with the claimants' providers to set expectations regarding return to work.Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions.Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.Negotiates return to work with or without job accommodations via the claimant's physician and employer.Refers cases as appropriate to team lead and clinical case management to assist with claim determination.Meets the organization's quality program(s) minimum requirements.Maintains professional client relationships and provides excellent customer service.ADDITIONAL FUNCTIONS and RESPONSIBILITIESPerforms other duties as assigned.QUALIFICATIONSEducation & Licensing High school diploma or GED required.Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred.Skills & KnowledgeKnowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application proceduresKnowledge of state and federal FMLA regulationsWorking knowledge of medical terminology and duration managementExcellent oral and written communication, including presentation skillsProficient computer skills including working knowledge of Microsoft OfficeAnalytical, interpretive, and critical thinking skillsStrong organizational and multitasking skillsAbility to work in a team environmentAbility to meet or exceed performance competencies as required by programEffective decision-making and negotiation skillsAbility to exercise judgement with limited supervisionWORK ENVIRONMENTWhen applicable and appropriate, consideration will be given to reasonable accommodations.Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as requiredAuditory/Visual: Hearing, vision and talkingTAKING CARE OF YOUEntry-level colleagues are offered a world class training program with a comprehensive curriculum.An assigned mentor and manager that will support and guide you on your career journey.Career development and promotional growth opportunitiesA diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more.NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.