Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Dubuque, IA · On-site
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Dubuque, IA · On-site
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Dubuque, IA · On-site
$35K - $40K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Dubuque, IA · On-site
$35K - $40K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Coralville, IA · On-site
$34K - $39K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Coralville, IA · On-site
$34K - $39K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Dubuque, IA · On-site
$35K - $40K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Dubuque, IA · On-site
$35K - $40K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Cedar Rapids, IA · On-site
$36K - $42K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Cedar Rapids, IA · On-site
$36K - $42K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Coralville, IA · On-site
$34K - $39K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Coralville, IA · On-site
$34K - $39K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Cedar Rapids, IA · On-site
$36K - $42K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Disability Representative Sr
Cedar Rapids, IA · On-site
$36K - $42K/yr
Provides disability case management and complex claim determinations based on medical documentation ... Knowledge of state and federal FMLA regulations * Working knowledge of medical terminology and ...
Leave of Absence Coordinator
Cedar Rapids, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Cedar Rapids, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Coralville, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Coralville, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Cedar Rapids, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Cedar Rapids, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Cedar Rapids, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Cedar Rapids, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Coralville, IA · Hybrid
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Coralville, IA · Hybrid
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Coralville, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Coralville, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Dubuque, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Dubuque, IA · On-site
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Coralville, IA · Hybrid
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Leave of Absence Coordinator
Coralville, IA · Hybrid
$19.31/hr
A dedicated mentor and manager to guide you every step of your career journey * Career development ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and ...
Fmla Case Manager information
See Iowa salary details
$18.06 - $23.26
3% of jobs
$23.26 - $28.45
6% of jobs
$33.16 is the 25th percentile. Wages below this are outliers.
$28.45 - $33.64
17% of jobs
$33.64 - $38.84
20% of jobs
The median wage is $39.87 / hr.
$38.84 - $44.03
16% of jobs
$44.03 - $49.22
11% of jobs
$50.33 is the 75th percentile. Wages above this are outliers.
$49.22 - $54.41
7% of jobs
$54.41 - $59.61
6% of jobs
$59.61 - $64.80
5% of jobs
$64.80 - $69.99
4% of jobs
$69.99 - $75.19
3% of jobs
$18
$44
$75
How much do fmla case manager jobs pay per hour?
What is an FMLA Case Manager?
What are the key skills and qualifications needed to thrive as an FMLA Case Manager?
What are some common challenges FMLA Case Managers face when coordinating employee leave requests?
What is the difference between Fmla Case Manager vs Disability Case Manager?
| Aspect | Fmla Case Manager | Disability Case Manager |
|---|---|---|
| Credentials | Typically requires healthcare or social work background, certifications vary | Often requires nursing, social work, or rehabilitation counseling credentials |
| Work Environment | Office-based, healthcare or insurance settings | Healthcare facilities, insurance companies, or rehabilitation centers |
| Employer & Industry | Hospitals, insurance companies, HR departments | Insurance providers, healthcare organizations, government agencies |
Both roles involve managing employee or patient cases, but Fmla Case Managers focus on leave management under the Family and Medical Leave Act, while Disability Case Managers handle long-term disability claims and benefits. They share similar credentials and work environments, often within healthcare or insurance sectors, but serve different purposes in employee health and benefits management.
- Master Degree Human Services
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- Full Time Surrogate Case Manager
- Disability Case Manager
- Case Management Assistant
- Workers Comp Nurse Case Manager
- Entry Level Case Manager
- Evening Behavioral Health Case Manager Remote
- Remote Online Case Manager
- Refugee Resettlement Case Manager
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
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
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.