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 ...
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 ...
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 ...
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 ...
Disability Representative Sr
Dublin, OH · On-site
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 ...
Disability Representative Sr
Dublin, OH · On-site
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 ...
Disability Representative Sr
Dublin, OH · On-site
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 ...
Disability Representative Sr
Dublin, OH · On-site
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Disability Payment Coordinator
$30.50 - $33.48/hr
The Disability Payment Coordinator assists in the administration of disability benefit payments by ... Review and provides input on relevant policies and procedures. * Advises and provides consultative ...
Disability Payment Coordinator
$30.50 - $33.48/hr
The Disability Payment Coordinator assists in the administration of disability benefit payments by ... Review and provides input on relevant policies and procedures. * Advises and provides consultative ...
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 ...
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 ...
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 ...
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 ...
Disability Representative Sr
Orlando, FL · On-site
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 ...
Disability Representative Sr
Orlando, FL · On-site
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 ...
Disability Representative Sr
Dubuque, IA · On-site
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 ...
Disability Representative Sr
Dubuque, IA · On-site
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 ...
Disability Representative Sr
Chicago, IL · On-site
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 ...
Disability Representative Sr
Chicago, IL · On-site
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 ...
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 ...
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 ...
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 ...
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 ...
Disability Representative Sr
Dubuque, IA · On-site
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 ...
Disability Representative Sr
Dubuque, IA · On-site
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 ...
Disability Payment Coordinator
Los Angeles, CA · On-site
$30.50 - $33.48/hr
The Disability Payment Coordinator assists in the administration of disability benefit payments by ... Review and provides input on relevant policies and procedures. * Advises and provides consultative ...
Disability Payment Coordinator
Los Angeles, CA · On-site
$30.50 - $33.48/hr
The Disability Payment Coordinator assists in the administration of disability benefit payments by ... Review and provides input on relevant policies and procedures. * Advises and provides consultative ...
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 ...
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 ...
Disability Payment Coordinator
Los Angeles, CA · On-site +1
$30.50 - $33.48/hr
The Disability Payment Coordinator assists in the administration of disability benefit payments by ... Review and provides input on relevant policies and procedures. * Advises and provides consultative ...
Disability Payment Coordinator
Los Angeles, CA · On-site +1
$30.50 - $33.48/hr
The Disability Payment Coordinator assists in the administration of disability benefit payments by ... Review and provides input on relevant policies and procedures. * Advises and provides consultative ...
Disability Reviewer information
See salary details
$10.58 - $14.03
1% of jobs
$14.03 - $17.48
13% of jobs
$17.48 - $20.94
4% of jobs
$22.31 is the 25th percentile. Wages below this are outliers.
$20.94 - $24.39
18% of jobs
$24.39 - $27.84
14% of jobs
The median wage is $27.95 / hr.
$27.84 - $31.29
17% of jobs
$31.29 - $34.75
7% of jobs
$35.14 is the 75th percentile. Wages above this are outliers.
$34.75 - $38.20
12% of jobs
$38.20 - $41.65
8% of jobs
$41.65 - $45.10
5% of jobs
$45.10 - $48.56
1% of jobs
$10
$29
$48
How much do disability reviewer jobs pay per hour?
As of Aug 11, 2026, the average hourly pay for disability reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.
What does a disability reviewer do?
A Disability Reviewer is responsible for evaluating medical and vocational evidence to determine whether individuals meet the eligibility requirements for disability benefits, such as those offered by Social Security. They review applications, medical records, and other supporting documents, and may consult with medical professionals to make informed decisions. Their work ensures that only qualified applicants receive benefits, while helping prevent fraud and improper payments. Disability Reviewers must stay updated on laws, regulations, and guidelines related to disability programs.
What are the key skills and qualifications needed to thrive as a disability reviewer?
To thrive as a Disability Reviewer, you need a background in healthcare or social services, strong analytical abilities, and knowledge of disability regulations, often supported by a relevant degree or certification. Familiarity with case management systems, medical records software, and federal or state disability guidelines is typically required. Excellent attention to detail, objectivity, and clear written communication are vital soft skills for making accurate and fair determinations. These skills ensure that disability claims are evaluated thoroughly, fairly, and in compliance with legal and medical standards.
What is the difference between Disability Reviewer vs Disability Claims Specialist?
| Aspect | Disability Reviewer | Disability Claims Specialist |
|---|---|---|
| Required Credentials | Typically requires a background in healthcare, social work, or related fields; certifications vary | Often requires similar credentials, including healthcare or social work background; certifications may be preferred |
| Work Environment | Primarily office-based, reviewing case files and medical documentation | Office setting, handling claims processing and customer interactions |
| Employer & Industry Usage | Used by government agencies, insurance companies, and third-party administrators | Commonly employed by insurance companies, government agencies, and private firms |
Both roles involve evaluating disability claims, often requiring similar educational backgrounds and working in office environments. While Disability Reviewers focus on assessing medical documentation and making determinations, Disability Claims Specialists handle the entire claims process, including customer communication and documentation management. Understanding these differences can help job seekers identify the right career path within the disability assessment industry.
What are some common challenges faced by disability reviewers, and how can they be addressed?
Disability Reviewers often encounter challenges such as managing a high caseload, interpreting complex medical documentation, and ensuring compliance with regulatory guidelines. Staying organized and developing strong analytical skills are essential to efficiently process cases and make accurate determinations. Effective communication with medical professionals and applicants also helps clarify ambiguities and ensures fair, thorough evaluations. Many Disability Reviewers find that ongoing professional development and collaboration with experienced team members greatly enhance their ability to navigate these challenges.
More about Disability Reviewer jobs
What cities are hiring for Disability Reviewer jobs? Cities with the most Disability Reviewer job openings:
What states have the most Disability Reviewer jobs? States with the most job openings for Disability Reviewer jobs include:
What job categories do people searching Disability Reviewer jobs look for? The top searched job categories for Disability Reviewer jobs are:
Sedgwick rating
7.6
Based on 321 frontline employees who took The Breakroom Quiz
209th of 304 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 Sr
Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:
Southfield, MI : 300 Galleria Officentre Southfield MI 48034
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
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited university or college preferred.
Experience
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience required.
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: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: 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 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 Sr
Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:
Southfield, MI : 300 Galleria Officentre Southfield MI 48034
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 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 claimants physician and employer.
- Refers cases as appropriate to team lead and clinical case management.
- Maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited university or college preferred.
Experience
Three (3) years of benefits or disability case/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
- Working knowledge of medical terminology and duration management
- 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 Competencies
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: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: 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 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.