Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions.
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions.
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr.
Chicago, IL · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr.
Chicago, IL · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Irving, TX · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Irving, TX · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Chicago, IL · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Chicago, IL · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Lead Case Manager
Saint Paul, MN · On-site
$25/hr
The Case Manager Specialist works on behalf of the person to identify their unique needs and to minimize the impact of the disability on the person's life while assuring continuity of services and ...
Lead Case Manager
Saint Paul, MN · On-site
$25/hr
The Case Manager Specialist works on behalf of the person to identify their unique needs and to minimize the impact of the disability on the person's life while assuring continuity of services and ...
Disability Representative Sr
Dubuque, IA · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Dubuque, IA · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Dubuque, IA · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Dubuque, IA · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Dubuque, IA · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Dubuque, IA · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Dublin, OH · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Dublin, OH · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Chicago, IL · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Disability Representative Sr
Chicago, IL · On-site
Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making ...
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions.
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions.
Disability Case Manager information
See salary details
$16.83 - $19.60
14% of jobs
$20.79 is the 25th percentile. Wages below this are outliers.
$19.60 - $22.38
26% of jobs
The median wage is $23.93 / hr.
$22.38 - $25.15
18% of jobs
$25.15 - $27.93
10% of jobs
$30.01 is the 75th percentile. Wages above this are outliers.
$27.93 - $30.70
10% of jobs
$30.70 - $33.48
9% of jobs
$33.48 - $36.25
5% of jobs
$36.25 - $39.03
4% of jobs
$39.03 - $41.81
2% of jobs
$41.81 - $44.58
1% of jobs
$44.58 - $47.36
1% of jobs
$16
$27
$47
How much do disability case manager jobs pay per hour?
As of Jul 14, 2026, the average hourly pay for disability case manager in the United States is $27.62, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $31.73 per hour, depending on experience, location, and employer.
What does a case manager do for a disabled person?
A disability case manager coordinates services and resources to support a disabled person's needs, including medical care, rehabilitation, and social services. They assess the individual's situation, develop care plans, and advocate for appropriate support, often working with healthcare providers and insurance companies to ensure effective assistance.
How much do disability case managers make in the US?
Disability case managers in the US typically earn an average annual salary of around $45,000 to $65,000, depending on experience, location, and employer. Salaries can vary based on certifications, such as the Certified Disability Management Specialist (CDMS), and the complexity of cases managed.
How does a Disability Case Manager typically collaborate with healthcare providers and employers to support clients’ return-to-work plans?
Disability Case Managers work closely with healthcare providers to understand a client’s medical condition and recommended accommodations. They also communicate with employers to develop and implement effective return-to-work strategies that fit both the client's needs and workplace requirements. This collaboration often involves coordinating medical documentation, facilitating workplace adjustments, and monitoring the client’s progress, ensuring a smooth transition back to work. Regular meetings and updates among all parties help to address any challenges that arise during the process.
What is a disability case manager?
A disability case manager is a professional who coordinates and oversees the process of evaluating, approving, and managing disability claims. They work with clients, healthcare providers, and insurance companies to ensure proper documentation, compliance, and support throughout the disability benefits process, often requiring knowledge of medical records and relevant regulations.
How to become a case manager for people with disabilities?
To become a disability case manager, typically a bachelor's degree in social work, psychology, or a related field is required, along with relevant experience in healthcare or social services. Certification, such as the Certified Case Manager (CCM), can enhance job prospects and credibility. Strong communication, organizational skills, and knowledge of disability laws and resources are essential for success in this role.
What are the key skills and qualifications needed to thrive as a Disability Case Manager, and why are they important?
To thrive as a Disability Case Manager, you need a background in healthcare, social work, or human services, often supported by a relevant degree or certification such as Certified Disability Management Professional (CDMP). Familiarity with case management software, medical documentation systems, and legal/regulatory frameworks is typically required. Strong interpersonal communication, problem-solving, and organizational skills make someone stand out in this position. These abilities are crucial for effectively coordinating care, advocating for clients, and ensuring compliance with complex disability policies.
What does a Disability Case Manager do?
A Disability Case Manager is responsible for coordinating and managing the services and support needed by individuals with disabilities. They assess clients' needs, develop care plans, connect clients with resources, and monitor progress to ensure that appropriate services are provided. Their goal is to help clients achieve maximum independence and quality of life, while also ensuring compliance with relevant regulations and policies. Disability Case Managers often work closely with healthcare providers, insurance companies, employers, and families.
What Does a Disability Case Manager Do?
Disability case managers assist clients filing disability claims, selecting health care providers and rehabilitation services, and determining the right time to return to work. As a disability case manager, you work with many different clients dealing with various circumstances, so your specific job duties change according to their needs. The qualifications for a career as a disability case worker include a bachelor’s or master’s degree in social work, human services, nursing, or a related field. Some positions require experience working with patients who have special needs. To succeed in disability case manager jobs, you need patience, compassion, and excellent time management and organizational skills.
More about Disability Case Manager jobs
What cities are hiring for Disability Case Manager jobs? Cities with the most Disability Case Manager job openings:
Who are the top companies hiring for Disability Case Manager jobs? The top employers for Disability Case Manager jobs are:
What states have the most Disability Case Manager jobs? States with the most job openings for Disability Case Manager jobs include:
What job categories do people searching Disability Case Manager jobs look for? The top searched job categories for Disability Case Manager jobs are:
- Social Security Disability
- Remote Social Work Lawyer
- Social Security Disability Legal
- Developmental Disability Case Manager
- Canada Life Disability Case Manager
- Short Term Disability Case Manager
- Long Term Disability Case Manager
- Social Security Disability Examiner
- Remote Disability Case Manager
- Case Manager Case Manager
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 10 days ago
Sedgwick rating
7.5
Based on 315 frontline employees who took The Breakroom Quiz
191st of 281 rated insurance
Job description
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
Sr. Disability Representative
PRIMARY PURPOSE:
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions. Responsible for determining benefits eligibility, issuing timely payments and adjustments, and managing claims involving comorbidities, concurrent plans, and ADA accommodations. Coordinates investigative efforts, thoroughly evaluates contested claims, partners with stakeholders to support return-to-work outcomes (with or without accommodations), and facilitates appropriate referrals to external resources and vendors.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
QUALIFICATIONS
Education & Licensing
High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.
Experience
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred.
Skills & Knowledge
WORK ENVIRONMENT
When 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 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
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 $26.00 - $28.00 USD Hourly. 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.
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
Sr. Disability Representative
PRIMARY PURPOSE:
Provides expert-level disability case management and handles complex claim determinations through thoughtful review of medical documentation and accurate interpretation of disability plan provisions. Responsible for determining benefits eligibility, issuing timely payments and adjustments, and managing claims involving comorbidities, concurrent plans, and ADA accommodations. Coordinates investigative efforts, thoroughly evaluates contested claims, partners with stakeholders to support return-to-work outcomes (with or without accommodations), and facilitates appropriate referrals to external resources and vendors.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Independently evaluates and determines eligibility for complex disability claims or provides well-supported recommendations for denial in accordance with plan provisions.
- Reviews and analyzes detailed medical documentation (e.g., attending physician statements, office notes, operative reports) to assess disability status as defined by the plan.
- Manages highly complex claims, including those involving comorbid conditions, concurrent benefits, and ADA accommodation considerations.
- Leverages clinical resources (e.g., duration guidelines, in-house clinicians) to support accurate and consistent claim assessments.
- Calculates benefits due in alignment with disability plans, ensuring accurate and timely payments, adjustments, and application of offsets (e.g., Workers' Compensation, SSDI).
- Communicates clearly with claimants regarding documentation requirements, timelines, claim status, and benefit details through phone, written correspondence, and system updates.
- Partners with healthcare providers to set clear expectations and support timely, safe return-to-work outcomes.
- Oversees medical management of claims to ensure compliance with duration guidelines and plan provisions.
- Maintains consistent and transparent communication with claimants, clients, and stakeholders throughout the claims process.
- Coordinates and oversees investigative activities, ensuring accuracy and appropriateness while conducting thorough reviews of contested claims.
- Evaluates the need for and coordinates referrals to external vendors, including physician advisors, independent medical evaluations (IMEs), functional capacity evaluations, and surveillance.
- Collaborates with employers and providers to negotiate and facilitate return-to-work solutions, with or without reasonable accommodations.
- Escalates cases to team lead or clinical case management for additional review when appropriate.
- Builds and maintains strong client relationships while delivering a high level of customer service.
- Meets or exceeds organizational quality standards and performance expectations.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned to support team and business objectives.
QUALIFICATIONS
Education & Licensing
High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.
Experience
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred.
Skills & Knowledge
- Strong knowledge of ERISA regulations, disability plan provisions, benefit offsets/deductions, and Social Security (SSDI) processes and application procedures
- In-depth understanding of state and federal FMLA regulations and their impact on disability claims management
- Working knowledge of medical terminology, clinical documentation, and disability duration and case management practices
- Excellent verbal and written communication skills, with the ability to clearly convey complex information to diverse audiences, including claimants, providers, and clients
- Proficiency in Microsoft Office Suite and claims management systems, with strong technical aptitude
- Advanced analytical, interpretive, and critical thinking skills with the ability to evaluate complex scenarios and make sound decisions
- Ability to navigate ambiguity and adapt to evolving claim details, regulations, and business needs
- Strong organizational skills with the ability to manage multiple priorities, deadlines, and complex caseloads effectively
- Collaborative team player with the ability to work cross-functionally in a dynamic environment
- Demonstrated ability to meet or exceed performance and quality standards within a structured program
- Strong decision-making and negotiation skills, particularly in return-to-work discussions and claim resolutions
- Ability to exercise independent judgment and discretion while operating within established guidelines and compliance standards
WORK ENVIRONMENT
When 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 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
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 $26.00 - $28.00 USD Hourly. 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.