Sr. Disability Representative

SEDGWICK

Dubuque, IA, US
Base: $23.00-$25.00 hourly; bonus/equity: not spec...
Hybrid
Disability plan interpretation
Medical documentation review
Claim determination
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments

Job Summary

  • Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments.
  • Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.
  • 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.

Matching Summary

Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments.

Salary

Base: $23.00-$25.00 hourly; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package offered

Skills & Requirements

Must-have

  • Disability plan interpretation
  • Medical documentation review
  • Claim determination
  • Return to work negotiation
  • Investigative efforts coordination

Nice-to-have

  • Caring culture
  • Work-life balance
  • Team collaboration
  • Excellent customer service

Key Requirements

  • High School diploma or GED
  • Three (3) years of experience
  • Knowledge of ERISA regulations
  • Knowledge of state and federal FMLA regulations
  • State certification or licensing

Work Rights

Not specified

Tailored Resume

Cover Letter