... case assessment (i.e. duration guidelines, in-house clinicians), as needed. * Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers ...
... case assessment (i.e. duration guidelines, in-house clinicians), as needed. * Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers ...
Medical Case Worker II
$24.33 - $35.11/hr
The Medical Case Worker II works with clients during incarceration and post-release to ensure ... disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV ...
Medical Case Worker II
$24.33 - $35.11/hr
The Medical Case Worker II works with clients during incarceration and post-release to ensure ... disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV ...
... disability case management, return-to-work efforts, job reassignment, workers' compensation coordination, and complex leave-of-absence consultation. This role serves as a strategic advisor and ...
... disability case management, return-to-work efforts, job reassignment, workers' compensation coordination, and complex leave-of-absence consultation. This role serves as a strategic advisor and ...
Employment Case Worker
Brea, CA · On-site
$27/hr
At America Works, we rely on knowledgeable professionals to interact with our clients receiving disability benefits (SSI/SSDI) who are looking to join a workforce development program, Ticket to Work.
Quick apply
Employment Case Worker
Brea, CA · On-site
$27/hr
At America Works, we rely on knowledgeable professionals to interact with our clients receiving disability benefits (SSI/SSDI) who are looking to join a workforce development program, Ticket to Work.
Department of Disability and Aging Services Case Manager (DAS CM)
San Francisco, CA · On-site
$29.90 - $31/hr
Department of Disability and Aging Services Case Manager (DAS CM) LOCATION/NEIGHBORHOOD: 65 Laguna ... EXPECTED WORKING CONDITIONS: • Must be able to travel locally to meet with clients offsite. • ...
Department of Disability and Aging Services Case Manager (DAS CM)
San Francisco, CA · On-site
$29.90 - $31/hr
Department of Disability and Aging Services Case Manager (DAS CM) LOCATION/NEIGHBORHOOD: 65 Laguna ... EXPECTED WORKING CONDITIONS: • Must be able to travel locally to meet with clients offsite. • ...
Disability Representative
Los Angeles, CA · On-site
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Disability Representative
Los Angeles, CA · On-site
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Disability Specialist
Los Angeles, CA · On-site
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Disability Specialist
Los Angeles, CA · On-site
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Department of Disability and Aging Services Case Manager (DAS CM)
San Francisco, CA · On-site
$29.81 - $35.58/hr
Department of Disability and Aging Services Case Manager (DAS CM) LOCATION/NEIGHBORHOOD: 65 Laguna ... EXPECTED WORKING CONDITIONS: Must be able to travel locally to meet with clients offsite. Must be ...
Department of Disability and Aging Services Case Manager (DAS CM)
San Francisco, CA · On-site
$29.81 - $35.58/hr
Department of Disability and Aging Services Case Manager (DAS CM) LOCATION/NEIGHBORHOOD: 65 Laguna ... EXPECTED WORKING CONDITIONS: Must be able to travel locally to meet with clients offsite. Must be ...
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Disability Specialist
West Hills, CA · On-site
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Disability Specialist
West Hills, CA · On-site
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Disability Representative
West Hills, CA · On-site
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Disability Representative
West Hills, CA · On-site
Provides disability case management and routine claim determinations based on medical documentation ... Determines benefits due, makes timely claims payments and adjustments for workers compensation ...
Workers' Compensation Case Manager
Torrance, CA · On-site
$20 - $28/hr
Vision insurance Boutique Workers' Compensation and Employment Firm seeks a legal assistant/ case manager for our Workers' Compensation Department. Must have 1+ years of experience. The successful ...
Quick apply
Workers' Compensation Case Manager
Torrance, CA · On-site
$20 - $28/hr
Vision insurance Boutique Workers' Compensation and Employment Firm seeks a legal assistant/ case manager for our Workers' Compensation Department. Must have 1+ years of experience. The successful ...
Travel RN Case Manager
Mission Viejo, CA · On-site
Disability Case Management * Workers' Compensation Case Management Additional Responsibilities * Arrange Durable Medical Equipment (DME) * Coordinate Skilled Nursing Facility (SNF) Placements
Travel RN Case Manager
Mission Viejo, CA · On-site
Disability Case Management * Workers' Compensation Case Management Additional Responsibilities * Arrange Durable Medical Equipment (DME) * Coordinate Skilled Nursing Facility (SNF) Placements
Travel RN Case Manager - $2,680 per week
Mission Viejo, CA · On-site
$2.6K/wk
Disability Case Management * Workers' Compensation Case Management Additional Responsibilities * Arrange Durable Medical Equipment (DME) * Coordinate Skilled Nursing Facility (SNF) Placements
Travel RN Case Manager - $2,680 per week
Mission Viejo, CA · On-site
$2.6K/wk
Disability Case Management * Workers' Compensation Case Management Additional Responsibilities * Arrange Durable Medical Equipment (DME) * Coordinate Skilled Nursing Facility (SNF) Placements
Field Case Manager
Los Angeles, CA · On-site
$55.29 - $60.10/hr
Workers comp background would be preferred, or short-term or long-term disability * Case management experience at a Third-Party Administrator (TPA), in the medical field, or workers compensation ...
Field Case Manager
Los Angeles, CA · On-site
$55.29 - $60.10/hr
Workers comp background would be preferred, or short-term or long-term disability * Case management experience at a Third-Party Administrator (TPA), in the medical field, or workers compensation ...
RN - Case Manager
Mission Viejo, CA · On-site
$2.4K/wk
BLS, LCSW*, MSWSkills : Admission Criteria, Adoption / Foster Care*, Adult protective services ... with Disabilities Act, Appeals and Denials, Arthritis*, Assess response to treatment, Assists ...
RN - Case Manager
Mission Viejo, CA · On-site
$2.4K/wk
BLS, LCSW*, MSWSkills : Admission Criteria, Adoption / Foster Care*, Adult protective services ... with Disabilities Act, Appeals and Denials, Arthritis*, Assess response to treatment, Assists ...
Skills & Knowledge: Knowledge of workers' compensation laws and regulations Knowledge of case management practice Knowledge of the nature and extent of injuries, periods of disability, and ...
Skills & Knowledge: Knowledge of workers' compensation laws and regulations Knowledge of case management practice Knowledge of the nature and extent of injuries, periods of disability, and ...
Knowledge of workers' compensation laws and regulations Knowledge of case management practice Knowledge of the nature and extent of injuries, periods of disability, and treatment needed Knowledge of ...
Knowledge of workers' compensation laws and regulations Knowledge of case management practice Knowledge of the nature and extent of injuries, periods of disability, and treatment needed Knowledge of ...
RN - Case Manager
Oakland, CA · On-site
$2.8K/wk
... Health, Disability case management*, Discharge Planning, Disease management*, DRG (Diagnosis ... s Services*, Worker s comp case management*, Workers Compensation* Unit Details Staffing ...
RN - Case Manager
Oakland, CA · On-site
$2.8K/wk
... Health, Disability case management*, Discharge Planning, Disease management*, DRG (Diagnosis ... s Services*, Worker s comp case management*, Workers Compensation* Unit Details Staffing ...
Disability Case Worker information
See California salary details
$29.1K - $32.7K
4% of jobs
$32.7K - $36.4K
13% of jobs
$38K is the 25th percentile. Wages below this are outliers.
$36.4K - $40K
18% of jobs
The median wage is $43.4K / yr.
$40K - $43.6K
16% of jobs
$43.6K - $47.3K
13% of jobs
$50.8K is the 75th percentile. Wages above this are outliers.
$47.3K - $50.9K
12% of jobs
$50.9K - $54.5K
6% of jobs
$54.5K - $58.2K
6% of jobs
$58.2K - $61.8K
5% of jobs
$61.8K - $65.5K
4% of jobs
$65.5K - $69.1K
2% of jobs
$29.1K
$46.8K
$69.1K
How much do disability case worker jobs pay per year?
What are the key skills and qualifications needed to thrive as a disability case worker?
What is the difference between Disability Case Worker vs Social Worker?
| Disability Case Worker | Social Worker |
|---|---|
| Focuses on assisting individuals with disabilities to access services and benefits | Provides broader social support, counseling, and advocacy across various populations |
| Typically requires certifications in disability or case management | Often requires a social work degree and licensure |
| Work environment includes government agencies, healthcare, and community organizations | Works in hospitals, schools, social service agencies, and community programs |
| Employer and industry usage are similar, often overlapping in social services | More diverse roles but shares client advocacy responsibilities |
While both roles involve supporting individuals in need, a Disability Case Worker specializes in assisting those with disabilities to access benefits and services, whereas a Social Worker provides comprehensive social support across various client groups. The roles often overlap but differ in scope and focus.
What does a disability case worker do?
What are some common challenges disability case workers face when managing caseloads, and how can they effectively address them?

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 7 days ago
Sedgwick rating
7.6
Based on 321 frontline employees who took The Breakroom Quiz
208th of 304 rated insurance
Job description
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 Sr
Preferred candidates must live by our center of excellence in West Hills, California. 8521 Fallbrook Ave West Hills, CA 91304
PRIMARY PURPOSE: 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, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews 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 independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
- Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan.
- Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines.
- Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed.
- Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals 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 complex 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 to team lead and clinical case management for additional review when appropriate.
- Maintains professional client relationships and provides excellent customer service.
- Meets the organization's quality program(s) minimum requirements.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
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
- 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
- Ability to manage ambiguity
- 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 autonomously within established procedures
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
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.
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.
Always hiring
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.