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Disability Representative
PRIMARY PURPOSE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
- Determines benefits due, makes timely claims payments 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 either by phone, written correspondence and/or claims system.
- Refers cases as appropriate to team lead; maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required. College preferred.
Experience
Two (2) years of related experience or equivalent combination of education and experience required to include one (1) year general office experience. One (1) year of benefits or claims management experience preferred.
Skills & Knowledge
- Excellent oral and written communication
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Ability to work in a team environment
- Good 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 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.
Sedgwick is an Equal Opportunity Employer
and a
Drug-Free Workplace
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Job Details
Req Num | -- |
ID | 758547 |
Location |
Dubuque, IA
Dubuque, IA
Bellevue, IL
|
Positions | 8 |
Type | Employee |
Status | Full Time |
Pay | -- |
Categories |
Customer Service
Health Care
Insurance
|
EMSI Skills |
Management Microsoft Office Negotiation Organizational Skills Social Security Disability Insurance Team Leadership Teamwork Workers' Compensation Written Communication |
Shifts |
First Shift
|
Benefits |
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Holidays
Tuition Reimbursement
|
Preferred Candidates
Years of Experience | 2-5 Years |
Education | High School/GED |