Join Sedgwick
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. Our teams thrive together! We collaborate onsite and embrace a flexible hybrid work arrangement. All candidates must live near our Center of Excellence in Coralville, IA: 273 Ridgeway Drive, Coralville, IA 52241. What we offer: A stable, consistent work environmentboth 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 hereare you ready to join us? 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 or customer service experience. One (1) year of benefits or claims management experience preferred. Skills & Knowledge
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 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. 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 21.82. 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.
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. Our teams thrive together! We collaborate onsite and embrace a flexible hybrid work arrangement. All candidates must live near our Center of Excellence in Coralville, IA: 273 Ridgeway Drive, Coralville, IA 52241. What we offer: A stable, consistent work environmentboth 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 hereare you ready to join us? 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 or customer service experience. One (1) year of benefits or claims management experience preferred. Skills & Knowledge
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 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. 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 21.82. 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.