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Senior Disability Representative Jobs in California

Sedgwick

Disability Representative Sr

West Hills, CA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Disability Representative Sr Preferred candidates must live by our center of excellence in West Hills, California. 8521 Fallbrook Ave West Hills, CA 91304 PRIMARY PURPOSE : Provides disability case ...

York Risk Services

Disability Representative Sr

Los Angeles, CA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Disability Representative Sr Preferred candidates must live by our center of excellence in West Hills, California. 8521 Fallbrook Ave West Hills, CA 91304 PRIMARY PURPOSE :Provides disability case ...

Sedgwick

Disability Representative Sr

Los Angeles, CA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Disability Representative Sr Preferred candidates must live by our center of excellence in West Hills, California. 8521 Fallbrook Ave West Hills, CA 91304 PRIMARY PURPOSE :Provides disability case ...

Intertek

Senior Sales Representative

Lake Forest, CA · On-site

$70K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Sales Representative - Lake Forest, CA Intertek, a Nationally Recognized Testing Lab (NRTL ... For individuals with disabilities who would like to request accommodation, or who need assistance ...

Intertek

Senior Sales Representative

Menlo Park, CA · On-site

$70K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Sales Representative - Menlo Park, CA Intertek, a Nationally Recognized Testing Lab (NRTL ... For individuals with disabilities who would like to request accommodation, or who need assistance ...

Intertek

Senior Sales Representative

Lake Forest, CA

$70K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Sales Representative - Menlo Park, CA Intertek, a Nationally Recognized Testing Lab (NRTL ... For individuals with disabilities who would like to request accommodation, or who need assistance ...

Intertek

Senior Sales Representative

Menlo Park, CA

$70K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Sales Representative - Menlo Park, CA Intertek, a Nationally Recognized Testing Lab (NRTL ... For individuals with disabilities who would like to request accommodation, or who need assistance ...

Intertek

Senior Sales Representative

Menlo Park, CA · On-site

$70K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Sales Representative - Menlo Park, CA Intertek, a Nationally Recognized Testing Lab (NRTL ... For individuals with disabilities who would like to request accommodation, or who need assistance ...

Intertek

Senior Sales Representative

Lake Forest, CA · On-site

$70K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Senior Sales Representative - Menlo Park, CA Intertek, a Nationally Recognized Testing Lab (NRTL ... For individuals with disabilities who would like to request accommodation, or who need assistance ...

BlackHawk Industrial

Senior Customer Service Representative

Tustin, CA · On-site

$20.25 - $27.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Senior Customer Service Representative plays a key leadership and mentorship role within the ... Company paid Long Term and Short-Term Disability * Company paid basic Life Insurance and AD&D/

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Senior Disability Representative information

How to become a senior disability representative?

To become a senior disability representative, candidates typically need several years of experience in disability claims or related fields, along with a thorough understanding of disability policies and procedures. Earning relevant certifications, such as the Disability Claims Examiner certification, and demonstrating strong communication and analytical skills can also support advancement. Progression often involves gaining experience, developing expertise, and demonstrating leadership abilities within the organization.

What are the key skills and qualifications needed to thrive as a senior disability representative?

To thrive as a Senior Disability Representative, you need in-depth knowledge of disability law, Social Security Administration (SSA) processes, and strong case management experience, often supported by a relevant degree or certification. Familiarity with SSA electronic filing systems, case tracking software, and medical documentation tools is typically required. Exceptional interpersonal skills, attention to detail, and persuasive communication set top performers apart in this role. These skills and qualifications are crucial for effectively advocating for clients, ensuring accurate case presentation, and achieving successful outcomes in complex disability claims.

What are some common challenges senior disability representatives face when handling complex cases, and how can they overcome them?

Senior Disability Representatives often encounter challenges such as managing high caseloads with varying medical and legal complexities, staying updated on frequently changing disability regulations, and effectively communicating with clients who may be under significant stress. Success in this role involves strong organizational skills, continual professional development to remain current with Social Security rules, and a compassionate approach to client interactions. Building strong relationships with healthcare providers and legal professionals also helps representatives gather necessary documentation and craft compelling cases.

What is a senior disability representative?

Senior Disability Representatives are professionals who assist individuals in navigating the Social Security disability benefits process. They help clients prepare and submit applications, gather necessary documentation, and represent them during hearings or appeals. With advanced experience, they often handle complex cases and provide guidance throughout the entire process to improve the chances of a favorable outcome. Their role is crucial in ensuring that clients understand their rights and receive the benefits they are entitled to.

What are the most commonly searched types of Disability Representative jobs in California?

The most popular types of Disability Representative jobs in California are:

What cities in California are hiring for Senior Disability Representative jobs?

Cities in California with the most Senior Disability Representative job openings:

Senior Disability Representative jobs near you

Disability Representative Sr

Sedgwick

West Hills, CA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 321 frontline employees who took The Breakroom Quiz

210th of 306 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
Preferred candidates must live by our center of excellence in West Hills, California. 8521 Fallbrook Ave West Hills, CA 91304
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
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 $26.00 - $28.00 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.
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.
Always hiring
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.

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