1,918 Disability jobs in the United States

By 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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Disability Representative
**Our teams connect! We collaborate in office.**
**All candidates must live near:**
**Chicago, IL :** 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604
Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands.
+ An assigned mentor and manager who will guide you on your career journey.
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**PRIMARY PURPOSE OF THE ROLE:**
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.
**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.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
+ 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 either by phone, written correspondence and/or claims system.
**QUALIFICATIONS**
+ Education & Licensing: High school diploma or GED required.
+ Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required
+ PC literate, including Microsoft Office products, Windows environment.
+ Must meet minimum typing requirements.
+ Experience: Clerical or customer service experience or equivalent combination of education and experience preferred
**TAKING CARE OF YOU**
+ Entry-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 opportunities
+ A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more.
Work environment requirements:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking.
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 19.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. _
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By 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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Disability Representative
**Disability Representative**
**Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near our center of excellence in Dubuque, Iowa.**
**Dubuque, IA** : 4141 Westmark Drive, Dubuque, IA 52002
Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands.
+ An assigned mentor and manager who will guide you on your career journey.
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**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 RESPONSIBILITIES**
+ Makes 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 RESPONSIBILITIES**
+ Performs other duties as assigned.
**QUALIFICATIONS**
**Education & 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 & Knowledge**
+ Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
+ Knowledge of state and federal FMLA regulations
+ Working knowledge of medical terminology and duration management
+ Excellent oral and written communication, including presentation skills
+ Proficient computer skills including working knowledge of Microsoft Office
+ Analytical, interpretive, and critical thinking skills
+ Strong organizational and multitasking skills
+ Ability to work in a team environment
+ Ability to meet or exceed performance competencies as required by program
+ Effective decision-making and negotiation skills
+ Ability to exercise judgement with limited supervision
**WORK ENVIRONMENT**
When 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 deadlines
**Physical:** Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required
**Auditory/Visual:** Hearing, vision and talking
**TAKING CARE OF YOU**
+ Entry-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 opportunities
+ A 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.
#claimsexaminer
#entrylevel
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By 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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Disability Representative
**Disability Representative**
**Our teams connect! We collaborate in-office and have a hybrid work arrangement. All candidates must live near:**
**Cedar Rapids, IA** : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401
Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands.
+ An assigned mentor and manager who will guide you on your career journey.
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**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.
**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.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Makes 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 RESPONSIBILITIES**
+ Performs other duties as assigned.
**QUALIFICATIONS**
**Education & 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 & Knowledge**
+ Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
+ Knowledge of state and federal FMLA regulations
+ Working knowledge of medical terminology and duration management
+ Excellent oral and written communication, including presentation skills
+ Proficient computer skills including working knowledge of Microsoft Office
+ Analytical, interpretive, and critical thinking skills
+ Strong organizational and multitasking skills
+ Ability to work in a team environment
+ Ability to meet or exceed performance competencies as required by program
+ Effective decision-making and negotiation skills
+ Ability to exercise judgement with limited supervision
**WORK ENVIRONMENT**
When 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 deadlines
**Physical:** Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required
**Auditory/Visual:** Hearing, vision and talking
**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.
#entrylevel
#claimsexaminer
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By 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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Disability Representative
**Disability Representative**
**Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near:**
**Orlando, FL :** 12650 Ingenuity Dr Orlando FL 32826
Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands.
+ An assigned mentor and manager who will guide you on your career journey.
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**PRIMARY PURPOSE OF THE ROLE:**
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.
**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.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
+ 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 either by phone, written correspondence and/or claims system.
**QUALIFICATIONS**
+ Education & Licensing: High school diploma or GED required.
+ Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required
+ PC literate, including Microsoft Office products, Windows environment.
+ Must meet minimum typing requirements.
+ Experience: Clerical or customer service experience or equivalent combination of education and experience preferred
**TAKING CARE OF YOU**
+ Entry-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 opportunities
+ A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more.
Work environment requirements:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking.
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 19.50). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

**Wage: $26.56 per hour**
**Schedule -** Full Time, 8hr shifts, Monday - Friday
**Our staff also enjoy these benefits:**
+ Health, dental, vision, prescription drug and life insurance
+ Short & long-term disability
+ 401(k) retirement plan
+ Paid time off and paid holidays
+ Professional development assistance
+ Career advancement opportunities
MTC is proud to operate the **San Diego Job Corps Center in Imperial Beach, CA** where our staff provide quality services to our local youth. We value our professional and caring employees who are dedicated to improving people's lives and we want **YOU** to join our team!
**What you will be doing:** You'll be responsible for oversight of the disability program including interactive disability accommodation process, assuring development of required plans, reviewing non-health educational documents, providing training to staff as necessary, maintaining confidentiality disability records, and providing instruction to special education students, in compliance with government and management directives.
1. Oversee the accommodation review process by reviewing Job Corps applicant files for possible health, mental health, physical, drug and alcohol, or educational accommodations.
2. Coordinate with the Interdisciplinary Team (IDT) to identify accommodations needed. Provide applicant materials to IDT members for review and ensure the review process is thorough and appropriate.
3. Set up and maintain accommodation files. Monitor, track, and follow up on the effectiveness of accommodations.
4. Make determination if accommodation is reasonable or not for facility to provide.
5. Adjust accommodations when needed. Reconvene the IDT periodically to develop more effective accommodations for individual students as necessary.
+ **QUALIFICATIONS, REQUIRED AND REQUESTED SKILLS:** Bachelor's degree
+ One (1) year related experience.
+ Experience developing Individual Accommodation Plans (IAP's) for clients with mental health, physical, and learning disability, and experience developing linkages with disability and mental health agencies.
+ Valid driver's license with an acceptable driving record.
Management & Training Corporation (MTC) is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, disabled status, veteran status, genetic information, national origin, or any other category protected by federal law. MTC participates in E-Verify. We strive to provide reasonable accommodation for qualified individuals with disabilities, including disabled veterans, in our job application and hiring process. If you are interested in employment opportunities with Management & Training Corporation and need assistance, please contact our staffing department through or .
Learn more about Management & Training Corporation here (

By 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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Disability Representative
**Disability Representative**
**Our teams connect! We collaborate in office and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:**
**Southfield, MI** : 300 Galleria Officentre Southfield MI 48034
Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands.
+ An assigned mentor and manager who will guide you on your career journey.
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**PRIMARY PURPOSE OF THE ROLE:**
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.
**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.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
+ 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 either by phone, written correspondence and/or claims system.
**QUALIFICATIONS**
+ Education & Licensing: High school diploma or GED required.
+ Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required
+ PC literate, including Microsoft Office products, Windows environment.
+ Must meet minimum typing requirements.
+ Experience: Clerical or customer service experience or equivalent combination of education and experience preferred
**TAKING CARE OF YOU**
+ Entry-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 opportunities
+ A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more.
Work environment requirements:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking.
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 19.50). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By 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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Disability Representative
**Disability Representative**
**Our teams connect! We collaborate in office and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:**
**Our Irving Office is located at: 2201 W. Royal Lane Suite 125 Irving, Tx 75063**
Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands.
+ An assigned mentor and manager who will guide you on your career journey.
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**PRIMARY PURPOSE OF THE ROLE:**
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.
**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.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
+ 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 either by phone, written correspondence and/or claims system.
**QUALIFICATIONS**
+ Education & Licensing: High school diploma or GED required.
+ Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required
+ PC literate, including Microsoft Office products, Windows environment.
+ Must meet minimum typing requirements.
+ Experience: Clerical or customer service experience or equivalent combination of education and experience preferred
**TAKING CARE OF YOU**
+ Entry-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 opportunities
+ A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more.
Work environment requirements:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking.
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 20.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By 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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Disability Representative
**Disability Representative**
**Our teams connect! We collaborate onsite and have a hybrid work arrangement.** **All candidates must live near:**
**Eden Prairie, MN** : 11000 Prairie Lakes Drive Eden Prairie, MN 55344
Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands.
+ An assigned mentor and manager who will guide you on your career journey.
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**PRIMARY PURPOSE OF THE ROLE:**
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.
**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.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
+ 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 either by phone, written correspondence and/or claims system.
**QUALIFICATIONS**
+ Education & Licensing: High school diploma or GED required.
+ Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required
+ PC literate, including Microsoft Office products, Windows environment.
+ Must meet minimum typing requirements.
+ Experience: Clerical or customer service experience or equivalent combination of education and experience preferred
**TAKING CARE OF YOU**
+ Entry-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 opportunities
+ A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more.
Work environment requirements:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking.
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 19.50). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

By 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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Disability Representative
**Disability Representative**
Are you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with us!
+ A stable and consistent work environment in an office and/or virtual setting
+ A training program to learn how to help employees and customers from some of the world's most reputable brands
+ An assigned mentor and manager who will guide you on your career journey
+ Career development and promotional growth opportunities through increasing responsibilities
+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
**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 RESPONSIBILITIES**
+ Makes 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 RESPONSIBILITIES**
+ Performs other duties as assigned.
**QUALIFICATIONS**
**Education & 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 & Knowledge**
+ Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
+ Knowledge of state and federal FMLA regulations
+ Working knowledge of medical terminology and duration management
+ Excellent oral and written communication, including presentation skills
+ Proficient computer skills including working knowledge of Microsoft Office
+ Analytical, interpretive, and critical thinking skills
+ Strong organizational and multitasking skills
+ Ability to work in a team environment
+ Ability to meet or exceed performance competencies as required by program
+ Effective decision-making and negotiation skills
+ Ability to exercise judgement with limited supervision
**WORK ENVIRONMENT**
When 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 deadlines
**Physical:** Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required
**Auditory/Visual:** Hearing, vision and talking
**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.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (19.00 - 23.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. 
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
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.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**