DubuqueRecruiter Since 2001
the smart solution for Dubuque jobs

Disability Representative Sr

Company: Sedgwick Claims Management Services, Inc
Location: Dubuque
Posted on: January 12, 2021

Job Description:

Disability Representative SrIF YOU CARE, THERE'S A PLACE FOR YOU HEREFor a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts--. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.As the largest provider of disability and absence management solutions, Sedgwick offers a combination of services covering every possible time away from work scenario. Our clients depend on us to support and improve the health and productivity of their workforce in a way that is cost-effective, efficient and compliant.PRIMARY PURPOSE: To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors.ESSENTIAL FUNCTIONS and RESPONSIBILITIES * Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan.* Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) 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).* Communicates with the claimants providers to set expectations regarding return to work.* Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.* Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions.* Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence.* 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.* Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.* Evaluates and arranges appropriate referral of claims to outside vendors for physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.* Negotiates return to work with our without job accommodations via the claimants physician and employer.* Refers cases as appropriate to supervisor and management.* Maintains professional client relationships.ADDITIONAL FUNCTIONS and RESPONSIBILITIES* Performs other duties as assigned.* Supports the organization's quality program(s).QUALIFICATIONSEducation & LicensingBachelor's degree from an accredited university or college preferred.ExperienceThree (3) years of benefits or disability claims management experience or equivalent combination of education and experience required.Skills & Knowledge* Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures* 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 CompetenciesWORK ENVIRONMENTWhen applicable and appropriate, consideration will be given to reasonable accommodations.Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talkingNOTE: 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 Employerand aDrug-Free Workplace#monster #li-ts

Keywords: Sedgwick Claims Management Services, Inc, Dubuque , Disability Representative Sr, Other , Dubuque, Iowa

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Salesperson - Bilingual
Description: POSITION OVERVIEW SALES AGENT br br The sales job of the year is now hiring We are looking for sales agent to support a national cable service provider. The calls are inbound, which means customers (more...)
Company: MCI
Location: Iowa City
Posted on: 01/24/2021

Customer Success - Bilingual
Description: POSITION OVERVIEW SALES AGENT br br The sales job of the year is now hiring We are looking for sales agent to support a national cable service provider. The calls are inbound, which means customers (more...)
Company: MCI
Location: Iowa City
Posted on: 01/24/2021

Mortgage Loan Processor
Description: GreenState Credit UnionMortgage Loan ProcessorUS-IA-DubuqueJob ID: 2020-2612Type: Regular Full-Time of Openings: 1Category: MortgageGreenState Credit UnionOverviewResponsible for processing of all secondary (more...)
Company: GreenState Credit Union
Location: Dubuque
Posted on: 01/24/2021


MD / Pulmonology Job in Dubuque, Iowa / Permanent
Description: Physician / PUD / Dubuque, IA br br Pulmonary Physician Needed in Dubuque, Iowa. br br 250,000 salary guarantee br br 50,000
Company: Murdock Consulting
Location: Dubuque
Posted on: 01/24/2021

Full Time Account Executive
Description: POSITION OVERVIEW SALES AGENT br br The sales job of the year is now hiring We are looking for sales agent to support a national cable service provider. The calls are inbound, which means customers (more...)
Company: MCI
Location: Iowa City
Posted on: 01/24/2021

Customer Support Bilingual
Description: POSITION OVERVIEW SALES AGENT br br The sales job of the year is now hiring We are looking for sales agent to support a national cable service provider. The calls are inbound, which means customers (more...)
Company: MCI
Location: Iowa City
Posted on: 01/24/2021

Bilingual Customer Support Rep
Description: POSITION OVERVIEW SALES AGENT br br The sales job of the year is now hiring We are looking for sales agent to support a national cable service provider. The calls are inbound, which means customers (more...)
Company: MCI
Location: Iowa City
Posted on: 01/24/2021

Inspector/Packer
Description: Why Kelly Youre looking to keep your career moving onward and upward, and were here to help you do just that. Our financial staffing experts will connect you with premier companies for opportunities
Company: Kelly
Location: Janesville
Posted on: 01/24/2021

Full Time Bilingual Customer Sales Rep
Description: POSITION OVERVIEW SALES AGENT br br The sales job of the year is now hiring We are looking for sales agent to support a national cable service provider. The calls are inbound, which means customers (more...)
Company: MCI
Location: Iowa City
Posted on: 01/24/2021

Power-Generation Equipment Repairer (91D)
Description: Since the Army National Guard uses a plethora of electronic systems, power is essential to success. As the Power-Generation Equipment Repairer, you'll supply the power to run virtually every aspect of (more...)
Company: Army National Guard
Location: Iowa City
Posted on: 01/24/2021

Log In or Create An Account

Get the latest Iowa jobs by following @recnetIA on Twitter!

Dubuque RSS job feeds