Disability Representative
West Hills, CA · On-site
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 ...
Disability Representative
West Hills, CA · On-site
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 ...
Disability Representative Sr
Dublin, OH · On-site
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 ...
Disability Representative Sr
Dublin, OH · On-site
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 ...
Disability Representative Sr
Irving, TX · On-site
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 ...
Disability Representative Sr
Irving, TX · On-site
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 ...
Disability Representative Sr
Memphis, TN · On-site
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 ...
Disability Representative Sr
Memphis, TN · On-site
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 Manager
Houston, TX · On-site
$65 - $95/hr
Timely reports of claims and preserves the rights of the company under the insurance terms; manages ... age, disability, protected veteran status or other characteristics protected by law. #J-18808 ...
Claims Manager
Houston, TX · On-site
$65 - $95/hr
Timely reports of claims and preserves the rights of the company under the insurance terms; manages ... age, disability, protected veteran status or other characteristics protected by law. #J-18808 ...
Disability Representative
Irving, TX · On-site
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 ...
Disability Representative
Irving, TX · On-site
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 ...
Disability Specialist
Los Angeles, CA · On-site
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 ...
Disability Specialist
Los Angeles, CA · On-site
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 ...
Disability Representative
Dubuque, IA · On-site
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 ...
Disability Representative
Dubuque, IA · On-site
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 ...
You will manage a caseload of Short Term Disability and Absence claims, applying sound judgment, analyticalexpertise, and empathy to deliveroptimalclaims handling andtimely,accuratedecisions. This ...
You will manage a caseload of Short Term Disability and Absence claims, applying sound judgment, analyticalexpertise, and empathy to deliveroptimalclaims handling andtimely,accuratedecisions. This ...
Disability Specialist
Los Angeles, CA · On-site
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 ...
Disability Specialist
Los Angeles, CA · On-site
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 ...
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 ...
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 ...
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 ...
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 ...
Disability Claims Specialist (Hybrid)
Pittsfield, IL · On-site
$30/hr
We will help build the core competencies you will need to be a successful Disability Claims ... to manage competing priorities while meeting deadlines, this is your opportunity to make a ...
Disability Claims Specialist (Hybrid)
Pittsfield, IL · On-site
$30/hr
We will help build the core competencies you will need to be a successful Disability Claims ... to manage competing priorities while meeting deadlines, this is your opportunity to make a ...
You will manage a caseload of Short Term Disability and Absence claims, applying sound judgment, analyticalexpertise, and empathy to deliveroptimalclaims handling andtimely,accuratedecisions. This ...
You will manage a caseload of Short Term Disability and Absence claims, applying sound judgment, analyticalexpertise, and empathy to deliveroptimalclaims handling andtimely,accuratedecisions. This ...
Disability Representative
Irving, TX · On-site
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 ...
Disability Representative
Irving, TX · On-site
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 Manager
Reno, NV · On-site
$90 - $140/hr
WHAT YOU'LL BE DOING As Claims Manager, you will oversee Jensen Infrastructure's Workers ... disability insurance, PTO, and 401k with a Company match. The successful candidate may also be ...
Claims Manager
Reno, NV · On-site
$90 - $140/hr
WHAT YOU'LL BE DOING As Claims Manager, you will oversee Jensen Infrastructure's Workers ... disability insurance, PTO, and 401k with a Company match. The successful candidate may also be ...
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 ...
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 ...
Disability Representative Sr
Dublin, OH · On-site
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 ...
Disability Representative Sr
Dublin, OH · On-site
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 ...
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 ...
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 ...
Disability Representative Sr
Orlando, FL · On-site
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 ...
Disability Representative Sr
Orlando, FL · On-site
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 ...
Disability Claims Manager information
See salary details
$35K - $44.5K
4% of jobs
$44.5K - $53.9K
4% of jobs
$53.9K - $63.4K
10% of jobs
$67K is the 25th percentile. Wages below this are outliers.
$63.4K - $72.8K
18% of jobs
$72.8K - $82.3K
12% of jobs
The median wage is $83.8K / yr.
$82.3K - $91.7K
13% of jobs
$91.7K - $101.2K
14% of jobs
$101.6K is the 75th percentile. Wages above this are outliers.
$101.2K - $110.6K
12% of jobs
$110.6K - $120.1K
7% of jobs
$120.1K - $129.5K
4% of jobs
$129.5K - $139K
2% of jobs
$35K
$87.9K
$139K
How much do disability claims manager jobs pay per year?
As of Aug 20, 2026, the average yearly pay for disability claims manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.
What does a disability claims manager do?
A Disability Claims Manager oversees the processing and evaluation of disability claims, ensuring they comply with company policies and legal regulations. They review medical records, collaborate with healthcare providers, and assess claim validity based on policy guidelines. Additionally, they communicate with claimants, provide updates, and address inquiries. Their role also involves fraud detection, dispute resolution, and implementing best practices to improve efficiency. Effective decision-making, empathy, and regulatory knowledge are key to success in this role.
What are the typical challenges faced by disability claims managers in their day-to-day work?
Disability Claims Managers often encounter challenges such as evaluating complex medical information, balancing compliance requirements with compassionate service, and making tough decisions regarding claim approvals or denials. They frequently work under tight deadlines while ensuring accuracy and fairness for both claimants and their employer. Additionally, managing a caseload and coordinating with physicians, legal teams, and other stakeholders can be demanding. Successfully navigating these challenges requires strong organizational skills, up-to-date regulatory knowledge, and excellent communication to support fair and timely outcomes.
What are the key skills and qualifications needed to thrive as a disability claims manager, and why are they important?
To excel as a Disability Claims Manager, you need strong knowledge of insurance regulations, claims processing, risk assessment, and a background in healthcare, business, or a related field. Familiarity with claims management software, regulatory compliance systems, and certifications such as Associate in Claims (AIC) or Certified Professional in Disability Management (CPDM) is often beneficial. Key soft skills include attention to detail, empathetic communication, and effective leadership for managing teams and resolving sensitive cases. These skills ensure accurate, efficient claims handling and provide essential support to claimants while upholding organizational standards and compliance.
More about Disability Claims Manager jobs
What cities are hiring for Disability Claims Manager jobs?
Cities with the most Disability Claims Manager job openings:
What are the most commonly searched types of Disability Claims jobs?
The most popular types of Disability Claims jobs are:
What states have the most Disability Claims Manager jobs?
States with the most job openings for Disability Claims Manager jobs include:
What job categories do people searching Disability Claims Manager jobs look for?
The top searched job categories for Disability Claims Manager jobs are:
- Claims Administration Manager
- Contracts Claims Manager
- Vice President Workers Compensation Claims Adjuster
- International Claims Manager
- Director Workers Compensation Claims Manager
- Remote Claims Manager
- Vice President Claims Subrogation
- Seasonal Medical Insurance Claims
- Medical Claims Administrator
- Tpa Claims Oversight Manager
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 6 days ago
Sedgwick rating
7.6
Based on 326 frontline employees who took The Breakroom Quiz
211th of 310 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
Disability Representative
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
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
QUALIFICATIONS
Education & Licensing
High school diploma or GED required. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.
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
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
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 25.09 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
Disability Representative
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. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.
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
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 25.09 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.