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 ...
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 ...
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 ...
Disability Representative Sr
Memphis, TN · 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
Memphis, TN · 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 ...
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
Orlando, FL · 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
Orlando, FL · 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
Orlando, FL · 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
Orlando, FL · 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
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 ...
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 ...
SSDI Case Manager
Orlando, FL · On-site +1
Thorough knowledge of Social Security's disability process and familiarity with DDS/SSA forms ... long term. We may use artificial intelligence (AI) tools to support parts of the hiring process ...
SSDI Case Manager
Orlando, FL · On-site +1
Thorough knowledge of Social Security's disability process and familiarity with DDS/SSA forms ... long term. We may use artificial intelligence (AI) tools to support parts of the hiring process ...
Long Term 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 long term disability case manager jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Long Term Disability Case Manager position, and why are they important?
To excel as a Long Term Disability Case Manager, you need a background in health sciences, social work, or insurance, along with strong case management and analytical skills. Familiarity with claims management software, medical terminology, and relevant certifications such as Certified Case Manager (CCM) are often required. Excellent communication, empathy, problem-solving, and organizational skills are crucial for effectively counseling clients and coordinating with multiple stakeholders. These competencies ensure effective case resolution, compliance with regulations, and compassionate support for individuals navigating long-term disability.
What is a Long Term Disability Case Manager job?
A Long Term Disability (LTD) Case Manager is responsible for assessing and managing long-term disability claims. They review medical records, policy terms, and other documentation to determine eligibility for benefits. LTD Case Managers communicate with claimants, employers, and medical professionals to facilitate the claims process. They also monitor claim progress, support return-to-work initiatives, and ensure compliance with company policies and legal requirements. Their goal is to provide fair and timely claim decisions while supporting claimants through their disability journey.
What are the typical challenges faced by Long Term Disability Case Managers, and how can they be addressed?
Long Term Disability Case Managers often face challenges such as managing complex cases involving multiple medical and vocational issues, balancing the needs of clients with policy requirements, and ensuring timely communication among all parties involved. Addressing these challenges involves staying organized, prioritizing tasks, and building effective relationships with claimants, healthcare providers, and internal teams. Many employers provide training and mentorship to help new case managers develop strong problem-solving and communication skills. Over time, experience in handling difficult cases can lead to greater confidence and career advancement within the organization.
How much do disability case managers make in the US?
What job makes $10,000 a month without a degree?
What does a Ltd case manager do?
How to become a case manager for people with disabilities?

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 27 days ago
Sedgwick rating
7.5
Based on 308 frontline employees who took The Breakroom Quiz
185th of 261 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 SrPRIMARY 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.
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 $24.50 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.
Sedgwickis 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.