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 ...
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 ...
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 ...
Developmental Disabilities Case Manager (SSA)
Lancaster, OH · On-site +1
$24 - $25/hr
A bachelor's degree is required * 18 months of experience conducting assessments is required. * 3-5 years of experience in the Developmental Disabilities sector preferred. Certificates, Licenses, and ...
New
Developmental Disabilities Case Manager (SSA)
Lancaster, OH · On-site +1
$24 - $25/hr
A bachelor's degree is required * 18 months of experience conducting assessments is required. * 3-5 years of experience in the Developmental Disabilities sector preferred. Certificates, Licenses, and ...
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)
Newark, OH · On-site +1
$24 - $25/hr
A bachelor's degree is required * 18 months of experience conducting assessments is required. * 3-5 years of experience in the Developmental Disabilities sector preferred. Certificates, Licenses, and ...
New
Developmental Disabilities Case Manager (SSA)
Newark, OH · On-site +1
$24 - $25/hr
A bachelor's degree is required * 18 months of experience conducting assessments is required. * 3-5 years of experience in the Developmental Disabilities sector preferred. Certificates, Licenses, and ...
New
The SSA Specialist will be responsible for performing SSA duties while also taking on the crucial task conducting assessments. * Provide Service and Support Administrator (SSA) functions as requested ...
New
The SSA Specialist will be responsible for performing SSA duties while also taking on the crucial task conducting assessments. * Provide Service and Support Administrator (SSA) functions as requested ...
New
The SSA Specialist will be responsible for performing SSA duties while also taking on the crucial task conducting assessments. * Provide Service and Support Administrator (SSA) functions as requested ...
New
The SSA Specialist will be responsible for performing SSA duties while also taking on the crucial task conducting assessments. * Provide Service and Support Administrator (SSA) functions as requested ...
New
Case Manager
Columbus, OH · On-site
$45K - $55K/yr
Disability Insurance Professional Support * Tuition Discount Opportunities with Schools like ... As a Case Manager, you'll play a meaningful role in service linkage and case management to assist ...
Quick apply
Case Manager
Columbus, OH · On-site
$45K - $55K/yr
Disability Insurance Professional Support * Tuition Discount Opportunities with Schools like ... As a Case Manager, you'll play a meaningful role in service linkage and case management to assist ...
Case Manager
Columbus, OH · On-site
$45K - $55K/yr
Disability Insurance Professional Support * Tuition Discount Opportunities with Schools like ... As a Case Manager, you'll play a meaningful role in service linkage and case management to assist ...
Quick apply
Case Manager
Columbus, OH · On-site
$45K - $55K/yr
Disability Insurance Professional Support * Tuition Discount Opportunities with Schools like ... As a Case Manager, you'll play a meaningful role in service linkage and case management to assist ...
Disability Management Coordinator (Industrial Rehabilitation Case Management Specialist, PN:
Columbus, OH · On-site
One year experience as a vocational rehabilitation field case manager; Valid drivers license ... disability model; (5) vocational aspects of disabling conditions; (6) analysis, synthesis ...
Disability Management Coordinator (Industrial Rehabilitation Case Management Specialist, PN:
Columbus, OH · On-site
One year experience as a vocational rehabilitation field case manager; Valid drivers license ... disability model; (5) vocational aspects of disabling conditions; (6) analysis, synthesis ...
Case Manager
$18.75 - $24.25/hr
Family to Family Case Manager Location: Columbus, Ohio Status: Full-Time Department: Family ... and disability insurance - 401(k) with employer match after 6 months of full-time employment ...
Case Manager
$18.75 - $24.25/hr
Family to Family Case Manager Location: Columbus, Ohio Status: Full-Time Department: Family ... and disability insurance - 401(k) with employer match after 6 months of full-time employment ...
Disability Management Coordinator (Industrial Rehabilitation Case Management Specialist, PN:
Columbus, OH · On-site
Completion of bachelor's degree in a field directly related to disability management (examples of ... One year experience as a vocational rehabilitation field case manager; * Valid drivers license;
Disability Management Coordinator (Industrial Rehabilitation Case Management Specialist, PN:
Columbus, OH · On-site
Completion of bachelor's degree in a field directly related to disability management (examples of ... One year experience as a vocational rehabilitation field case manager; * Valid drivers license;
Disability Management Coordinator (Industrial Rehabilitation Case Management Specialist, PN: 2006...
Columbus, OH · On-site
Completion of bachelor's degree in a field directly related to disability management (examples of ... One year experience as a vocational rehabilitation field case manager; * Valid drivers license;
Disability Management Coordinator (Industrial Rehabilitation Case Management Specialist, PN: 2006...
Columbus, OH · On-site
Completion of bachelor's degree in a field directly related to disability management (examples of ... One year experience as a vocational rehabilitation field case manager; * Valid drivers license;
Case Manager
Westerville, OH · On-site
$19.25 - $24.75/hr
Concord paid life insurance and long-term disability ensuring financial security during unexpected challenges. Work-Life Balance: Case Managers enjoy ample vacation time, sick time and observe 9 ...
Case Manager
Westerville, OH · On-site
$19.25 - $24.75/hr
Concord paid life insurance and long-term disability ensuring financial security during unexpected challenges. Work-Life Balance: Case Managers enjoy ample vacation time, sick time and observe 9 ...
Case Manager
Westerville, OH · On-site
$19.25 - $24.75/hr
Concord paid life insurance and long-term disability ensuring financial security during unexpected challenges. • Work-Life Balance: Case Managers enjoy ample vacation time, sick time and observe 9 ...
Case Manager
Westerville, OH · On-site
$19.25 - $24.75/hr
Concord paid life insurance and long-term disability ensuring financial security during unexpected challenges. • Work-Life Balance: Case Managers enjoy ample vacation time, sick time and observe 9 ...
Case Manager
Columbus, OH · On-site
$19.25 - $25/hr
Case Managers provide comprehensive services to adults with severe and persistent mental illness ... disability status, protected veteran status, genetic information, gender identity or any other ...
Case Manager
Columbus, OH · On-site
$19.25 - $25/hr
Case Managers provide comprehensive services to adults with severe and persistent mental illness ... disability status, protected veteran status, genetic information, gender identity or any other ...
Intern Disability Case Manager information
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 11 days ago
Sedgwick rating
7.7
Based on 325 frontline employees who took The Breakroom Quiz
205th of 310 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:
Dublin, OH : 5500 Glendon Court Dublin OH 43016
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
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
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
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 $23.00 -$25.00 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.
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:
Dublin, OH : 5500 Glendon Court Dublin OH 43016
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.
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 $23.00 -$25.00 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.
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.