LTD Case Specialist

Sedgwick

LTD Case Specialist analyzing claims and determining benefits due at Sedgwick. Collaborating onsite with teams in hybrid work arrangement.

Posted 7/23/2026full-timeEden Prairie • Florida, Minnesota • 🇺🇸 United StatesMid-LevelSenior💰 $50,000 - $55,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing medical disability claims, ensuring compliance with plan provisions, and effectively communicating with claimants and management. Proficient in negotiation and settlement of claims while maintaining strong organizational and analytical skills.

Highest-signal resume keywords

Medical Disability ExperienceClaims AnalysisNegotiation SkillsMicrosoft Office ProficiencyAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims AnalysisClaims ManagementSettlement NegotiationOverpayment CalculationDocumentation Provision

Soft Skills

Excellent CommunicationStrong Organizational SkillsInterpersonal SkillsTeam CollaborationPerformance Competency

Tools & Technologies

Microsoft Office

Industry Keywords

Medical DisabilityComplianceClaim PaymentsIndependent Medical EvaluationsSurveillance

About the role

Key responsibilities & impact

Analyzes assigned claims and determines benefits due
Informs claimants of documentation required to process their claim and timeframes
Manages claim to ensure compliance with plan provisions
Provides appropriate documentation to LTD Manager for reporting purposes
Determines need for outside vendors, surveillance and/or independent medical evaluations as required and seeks advice from management, as necessary
Refers cases to LTD Supervisor, LTD Manager, or Project Manager
Negotiates settlement of appropriate claims within designated authority level
Makes claim payments and revisions to benefit amounts
Communicates status on decisions to client, claimant and supervisor
Calculates and collects overpayments

Requirements

What you’ll need

Bachelor's degree from an accredited college or university preferred
Four (4) years of medical disability experience or equivalent combination of education and experience required
Excellent oral and written communication
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Benefits

Comp & perks

medical
dental
vision
401k and matching
PTO
disability and life insurance
employee assistance
flexible spending or health savings account
other additional voluntary benefits