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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
About the Role We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management ...
About the Role We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management ...
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 ...
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 ...
Reviewing job analysis/ with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work. * Engage and ...
Reviewing job analysis/ with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work. * Engage and ...
Nurse Case Manager
Concord, NC · On-site +1
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review, vocational/disability case management required.Workers' compensation experience is strongly preferred.
Nurse Case Manager
Concord, NC · On-site +1
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review, vocational/disability case management required.Workers' compensation experience is strongly preferred.
Case Manager
Saint Louis, MO · On-site
$19.50 - $25/hr
Patrick Center, is hiring a Case Manager for the United for Families Pilot Program. The case ... Paid life insurance; Long-term disability insurance; Flexible spending account; 403(b) with company ...
Quick apply
Case Manager
Saint Louis, MO · On-site
$19.50 - $25/hr
Patrick Center, is hiring a Case Manager for the United for Families Pilot Program. The case ... Paid life insurance; Long-term disability insurance; Flexible spending account; 403(b) with company ...
Nurse Case Manager
Columbus, OH · On-site
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review, vocational/disability case management required.Workers' compensation experience is strongly preferred.
New
Nurse Case Manager
Columbus, OH · On-site
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review, vocational/disability case management required.Workers' compensation experience is strongly preferred.
New
Case Manager
Saint Louis, MO · On-site
$19.50 - $25/hr
The case manager is a key member of the multidisciplinary H2H team, working in hospital, office ... Paid life insurance; Long-term disability insurance; Flexible spending account; 403(b) with company ...
Quick apply
Case Manager
Saint Louis, MO · On-site
$19.50 - $25/hr
The case manager is a key member of the multidisciplinary H2H team, working in hospital, office ... Paid life insurance; Long-term disability insurance; Flexible spending account; 403(b) with company ...
Nurse Case Manager
Charleston, WV · On-site
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review, vocational/disability case management required.Workers' compensation experience is strongly preferred.
New
Nurse Case Manager
Charleston, WV · On-site
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review, vocational/disability case management required.Workers' compensation experience is strongly preferred.
New
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 ...
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 ...
Developmental Disabilities Case Manager (SSA)
Byesville, OH · On-site +1
$24 - $25/hr
A bachelor's degree is require * 3-5 years of experience in the Developmental Disabilities sector preferred. Certificates, Licenses, and Registrations: * Must be able to obtain a Service and Support ...
Developmental Disabilities Case Manager (SSA)
Byesville, OH · On-site +1
$24 - $25/hr
A bachelor's degree is require * 3-5 years of experience in the Developmental Disabilities sector preferred. Certificates, Licenses, and Registrations: * Must be able to obtain a Service and Support ...
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 is a long term disability case manager?
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 key skills and qualifications needed to thrive as a long term disability case manager?
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 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 to become a long term disability case manager?
What cities are hiring for Long Term Disability Case Manager jobs?
Cities with the most Long Term Disability Case Manager job openings:
What are the most commonly searched types of Disability Case Manager jobs?
The most popular types of Disability Case Manager jobs are:
What states have the most Long Term Disability Case Manager jobs?
States with the most job openings for Long Term Disability Case Manager jobs include:
What job categories do people searching Long Term Disability Case Manager jobs look for?
The top searched job categories for Long Term Disability Case Manager jobs are:
- Social Security Disability
- Social Security Disability Legal
- Disability Case Manager
- Remote Social Work Lawyer
- Disability Claims Processor
- Social Security Disability Representative
- Social Security Disability Examiner
- Short Term Disability Case Manager
- Developmental Disability Case Manager
- Canada Life Disability Case Manager

Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Sedgwick rating
7.6
Based on 326 frontline employees who took The Breakroom Quiz
212th of 311 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 SrOur teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:
Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002
Dublin, OH : 5500 Glendon Court Dublin OH 43016
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.
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.