Senior Disability Representative

Sedgwick

Disability Representative handling disability case management and claim determinations. Collaborating with teams to evaluate claims and manage medical documentation under Sedgwick’s standards.

Posted 7/23/2026full-timeDubuque • Iowa, Ohio • 🇺🇸 United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in disability case management, including claim determinations, medical management practices, and knowledge of ERISA regulations. Strong communication and negotiation skills are essential for effectively managing claims and coordinating with claimants and clients.

Highest-signal resume keywords

Disability Case ManagementERISA Regulations KnowledgeMedical Terminology ProficiencyAnalytical SkillsNegotiation Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim DeterminationBenefits ManagementMedical Management PracticesDocumentation ReviewClaims Processing

Soft Skills

Excellent CommunicationOrganizational SkillsTeam CollaborationPresentation Skills

Tools & Technologies

Microsoft Office

Industry Keywords

Disability ClaimsSocial Security Application ProceduresPerformance Competencies

About the role

Key responsibilities & impact

Provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation.
Determine benefits due and making timely payments/approvals and adjustments.
Medically manage disability claims; coordinate investigative efforts; thoroughly review contested claims.
Negotiate return to work with or without job accommodations.
Evaluate and arrange appropriate referral of claims to outside vendors.
Communicate clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence.
Inform claimants of documentation required to process claims, required time frames, payment information and claims status.

Requirements

What you’ll need

Bachelor's degree from an accredited university or college preferred.
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience required.
Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures.
Working knowledge of medical terminology and duration management.
Excellent oral and written communication, including presentation skills.
PC literate, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Ability to work in a team environment.
Excellent negotiation skills.
Ability to meet or exceed Performance Competencies.

Benefits

Comp & perks

Health insurance
Flexible work arrangements
Paid time off
Professional development opportunities