Disability Specialist
$25.09 per hourSedgwick Claims Management Services Ltd
- # Disability RepresentativeApplylocations: West Hills, CA - Fallbrooktime type: Full timeposted on: Posted Todayjob requisition id: R75846By 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 CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceDisability Representative**Disability Representative****Our teams thrive together!** We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence **West Hills, CA.** 8521 Fallbrook Ave. Suite 250, West Hills, CA **What we offer:*** A **stable, consistent work environment**—both in-office and virtual* A **comprehensive training program** to help you support employees and customers from some of the world’s most respected brands* A **dedicated mentor and manager** to guide you every step of your career journey* **Career development and promotional opportunities** as you take on new responsibilities* A **diverse, all-inclusive benefits package** designed to support your mental, physical, financial, and professional well-being**Your next big opportunity starts here—are you ready to join us?****PRIMARY PURPOSE**: Provides disability case management and routine 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; coordinates investigative efforts, thoroughly reviewing 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 claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan.* Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse 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) regularly.* 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 by phone, written correspondence and/or claims system.* Communicates with the claimants’ providers to set expectations regarding return to work.* Medically manages routine 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 as appropriate to team lead and clinical case management to assist with claim determination.* Meets the organization’s quality program(s) minimum requirements.* Maintains professional client relationships and provides excellent customer service.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES*** Performs other duties as assigned.**QUALIFICATIONS****Education & Licensing** High school diploma or GED required.**Experience** Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management 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* 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 with limited supervision**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:** 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**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.*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 $25.09. 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.*
- J-18808-Ljbffr Sedgwick Claims Management Services Ltd
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Disability Specialist in Sacramento, CA vacancy
$46.92k
...Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings Relocation assistance and paid training provided ~ Paid time off provided at designated times throughout...DisabilityFull timeWork from homeRelocation packageFlexible hoursWeekday workMilton Hershey School
Sacramento, CA3 hours ago- Mater Dei Catholic School in Sacramento, CA, seeks an EAS/Resource Teacher to assist students with special needs and learning disabilities, provide targeted support, and contribute to an inclusive classroom. The role involves both pull-out and push-in environments. The...Disability
$90k - $105k
...encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Noise Intensity:ModerateOccasionally:OtherFrequently:N/AConstantly:Office environment...DisabilityFor contractorsSeasonal workWork at officeRemote workRelocationShift workB. BRAUN MEDICAL (US) INC
Sacramento, CA20 days ago- ...commercial availability of our life-saving therapies. The Specialist I, Quality Assurance is an integral entry-level role focused... ...vision benefits, PTO, 401(k) plan, life and accidental death and disability coverage, and parental leave benefits. Other perks include...DisabilityFull timeLocal areaRemote work
Orca Bio
Sacramento, CA22 days ago - ...conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and...DisabilityWork experience placementWork at officeRemote workMonday to FridayFlexible hoursShift workNight shift
Affinity Group
Sacramento, CA20 days ago - ...possible. Position Summary : The Associate Spine Specialist will work together with the Spine Territory Manager and will... ...Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Qualifications...DisabilityFull timeNight shift
Globus Medical
Sacramento, CA3 days ago $89.37k - $125.12k
...Work" in the North Bay Business Journal, is looking for a BSA Specialist to join our Compliance Team in our Novato or Sacramento Office... ...compensation and benefits will be provided during the hiring process. Bank of Marin is an equal opportunity employer. EOE AA /Vet/DisabilityDisabilityWork experience placementBank staffWork at officeBank of Marin
Rancho Cordova, CA4 days ago- ...requirements.Position Overview: We are seeking a Strategic Sourcing Specialist to join our team at Teledyne Microwave Solutions in Rancho... ...accommodations may be made to enable individuals with disabilities to perform the essential functions.Education and/or Experience...DisabilityMinimum wageFull timeWork experience placementWork at officeLocal area
Teledyne AnaFocus
Rancho Cordova, CA17 hours ago - ...nonprofit markets.Job DescriptionWe are seeking a Certified Access Specialist (CASp) to support accessibility compliance for construction... ...account (HSA) with employer contributions, life, AD&D and disability benefits, flexible spending account (FSA), voluntary benefits,...DisabilityFull timeContract workFor contractorsLocal areaFlexible hours2 days per week1 day per week
Vanir
Sacramento, CA4 days ago $98k - $127k
...Sacramento office of SmithGroup is looking for a Senior Proposal Specialist to join our team. Working with us, you will:Proposal and... ...identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category...DisabilityWork experience placementWork at officeLocal areaSmithGroup
Sacramento, CA17 hours ago$86.34k - $125.18k
...opportunities to all employees and applicants for employment in all job classifications without regard to race, color, religion, age, mental disability, physical disability, medical condition, gender, sexual orientation, genetic information, ancestry, marital status, national...DisabilityLocal areaThe Jackson Laboratory
Sacramento, CA3 days ago$87.2k - $130.8k
.... Certification is required in some areas.Supervisor:NoOur Sr Specialist Tech Business Mgmt, earns between $87,200-$130,800 USD Annual,... ...may be available but is unprotected Adoption Reimbursement Disability Benefits (short term and long term) Life and Accidental Death...DisabilityTemporary workWork at officeLocal areaRelocationAT&T
Sacramento, CA4 days ago$31.82k - $65.87k
...Lawn Specialist 1700 N Market, Sacramento, California 95834 TruGreen accepts applications on an ongoing basis. Job Description... ...Employer - Minorities/Females/Protected Veterans/Individuals with Disabilities. To learn more, please visit EEOC/EEO | TruGreen (...DisabilityLocal areaTruGreen Limited Partnership
Sacramento, CA17 hours ago$95k - $105k
...a compassionate, innovative, and organized People & Culture Specialist – Employee Relations, Leave and Accommodations to work remotely... ...health insurance, HSA/FSA options, short-term and long-term disability, dental and vision care, life insurance, 401(k), vacation, sick...DisabilityTemporary workWork at officeLocal areaRemote work$23 - $25 per hour
...Behavioral Specialist Are You Looking for Your New Career? We are now hiring a Behavioral Specialist to join our dynamic team! Salary... ..., sexual orientation, age, national origin, veteran or disability status, or any other characteristic protected by law. Pay Transparency...DisabilityHourly payLocal areaImmediate startWindsor Care Center of Sacramento
Sacramento, CA4 days ago$16.9 - $24.9 per hour
...Multiple premiums may apply if applicable criteria are met.The Parts Specialist will provide all retail and installer customers with a high... ...status, uniformed service member status, physical or mental disability, genetic information (including testing or characteristics) or...DisabilityHourly payMinimum wageLocal areaFlexible hoursO'Reilly Auto Parts
Sacramento, CA3 days ago$72k - $75k
...running. We are seeking an Athletic Trainer/Injury Prevention Specialist to join our team! This position is open to anyone with one of... ...identity or expression, national origin, marital status, age, disability, veteran status, or other applicable legally protected...DisabilityFull timeFlexible hoursConfluent Health
Sacramento, CA2 days ago$79.7k - $144.16k
...Position Information The full salary range for the Safety Specialist is $79,698.96 - $144,155.52 annually. However, the expected pay scale... ..., sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories...DisabilityFor contractorsWork at officeLocal areaWorldwideWork visaUniversity of California , Riverside
Sacramento, CA2 days ago$23 per hour
...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ...orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. - $23.00...DisabilityLocal areaHome Depot
Rancho Cordova, CA1 day ago$136.24k
...conditions, sexual orientation, gender identity or gender expression), national origin, age, marital status, physical or mental disability, veteran status, citizenship status, genetic information or any other characteristic protected by applicable law. Background Check...DisabilityContract workWork experience placementFor subcontractorH1bCDM Smith
Sacramento, CA4 days ago$16.9 - $24.9 per hour
...may apply if applicable criteria are met. The Delivery Specialist will maintain and operate store vehicles to deliver parts and/... ...status, uniformed service member status, physical or mental disability, genetic information (including testing or characteristics) or...DisabilityHourly payMinimum wageLocal areaImmediate startFlexible hoursO'Reilly Auto Parts
Fair Oaks, CA17 hours ago$32 - $45 per hour
...Employment Type Full Time Wage $32-$45 hr The EAS/Resource Teacher assists students with special needs, learning disabilities, and offers support for all students who need it and teaches or assists learning in both a pull-out and push-in environment. You...DisabilityFull timeRoman Catholic Bishop of Sacramento
Sacramento, CA2 days ago- ...Rehabilitation Technology – Become a Service Technician! At Numotion, we’re on a mission to improve the lives of people with disabilities. As North America’s largest provider of mobility products and services, we deliver personalized solutions from manual and power...DisabilityTemporary work
Johnson, Mirmiran & Thompson
Sacramento, CA2 days ago $86.34k - $125.18k
...opportunities to all employees and applicants for employment in all job classifications without regard to race, color, religion, age, mental disability, physical disability, medical condition, gender, sexual orientation, genetic information, ancestry, marital status, national...DisabilityLocal areaThe Jackson Laboratory
Sacramento, CA1 day ago- ...Willdan is seeking an Outreach Specialist to support our sales team’s lead generation & outreach efforts for heat pump water heaters for... ..., ancestry, religion, military service or veteran status, disability, medical condition, childbirth and related medical conditions,...DisabilityBase plus commissionWork at officeLocal area
Willdan
Sacramento, CA1 day ago $23.53 - $24.77 per hour
...and retirement benefits. JOB SUMMARY AND PURPOSE The Housing Specialist I is responsible for identifying suitable housing options for... ...without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected...DisabilityHourly payPermanent employmentWork experience placementLocal areaVOALA
Sacramento, CA2 days ago$75k
...Description Outreach Specialist This role is responsible for building, developing, and maintaining trusted relationships within law enforcement... ..., gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other protected...DisabilityNight shift3 days per weekAftermath
Rancho Cordova, CA3 days ago$25 - $28 per hour
...solution directly to those who need it most. As a Street Outreach Specialist, your primary mission is to find, connect with, and enroll... ...insurance options for you and your family. Short & Long-Term Disability Benefits: Protection when you need it most. Voluntary Accident...DisabilityTemporary workWork at officeLocal areaImmediate startFlexible hoursSerene Health Group
Sacramento, CA4 days ago$22.4 - $29.17 per hour
...If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Residential Specialist Part Time Sacramento, CA, US Salary Range: $22.40 To $29.17 Hourly WEAVE’s mission is to...DisabilityHourly payPart timeLive inWork at officeLocal areaImmediate startFlexible hoursShift workNight shiftWEAVE
Sacramento, CA1 day ago$26 - $43 per hour
...supervision. This position will provide staff training. The Behavioral Specialist performs various duties to facilitate and support the work and... ..., sex, sexual orientation, gender identity, national origin, disability or any other protected grounds under applicable legislation....DisabilityHourly pay125 Valley Biosystems, Inc.
Sacramento, CA3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Disability Specialist. Be the first to apply!
Related searches
- sewing specialist Sacramento, CA
- graduation specialist Sacramento, CA
- technology integration specialist Sacramento, CA
- evaluation specialist Sacramento, CA
- escalation specialist Sacramento, CA
- educational technology specialist Sacramento, CA
- policy specialist Sacramento, CA
- transition specialist Sacramento, CA
- performance improvement specialist Sacramento, CA
- assessment specialist Sacramento, CA