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

Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you'll need to live near one of our dynamic Centers of Excellence Indianapolis , IN : 8909 Purdue Road Suite 501, Indianapolis , IN

What we offer:

* A stable, consistent work environment-both in-office and virtual

* 21.82 per hour

* 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. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.

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

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 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 ...","Disability Representative",[86],["B","3138299925"],"Work at Sedgwick Claims Management Services, Inc.","4 days ago","/jobs/3138299925-disability-representative","Indianapolis, IN, United States","/jobs?keyword=Sedgwick+Claims+Management+Services%2C+Inc.","/jobs?location=Indianapolis%2C+IN%2C+United+States","/jobs?keyword=Disability+Representative",{"_65":66,"_67":87,"_69":88,"_70":89,"_90":91},"Indianapolis","Indianapolis, IN, United States, 46218","IN","postal_code","46218",["D",1775577600000],"StanCorp Financial Group","The next part of your journey is right around the corner - with The Standard.

A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we've been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference?

Job Summary

As an IDI disability claims analyst you will secure and analyze claim information to make disability claim decisions, including complex and high liability claims while also delivering excellent and timely customer service.\nInvestigate, secure, and analyze information pertaining to claimants' medical condition, occupational demands, work earnings, business income/expenses, insured status, and other policy provisions to accurately determine eligibility for disability benefits.\nIdentify whether coverage should be rescinded, seeking appropriate input from medical underwriting, legal, etc.\nIdentify financial or medical discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed timeframes.\nMake and communicate disability approval decisions and issue correct benefits.\nSkills and Background You'll Need

Education : High school diploma or equivalent

Experience :

A minimum of 3-5 years of disability claims processing experience with at least 2 years of IDI specific claims experience.\nAbility to understand and interpret all claim evaluation materials such as contract language, medical records, financial records and legal correspondence.\nExperience acting as a liaison with underwriting, reinsurance carriers, sales, private investigators, etc.\nRecognize, understand and respond to situations involving potentially fraudulent activity and/or litigation to ensure a defensible file.\nEffectively identify and prioritize critical objectives focusing on high impact components. Provide effective leadership.\nKey Behaviors of a Successful Candidate

Taking action: Independently drives work forward and takes responsibility for achieving job requirements, tasks and objectives.\nCustomer focus: Displays an interest in the customer by trying to understand their concerns and issues; draws on customer insight to help others with how to best meet current and future customer needs.\nImprovement mindset: Sees old problems and status quo as opportunities to improve; identifies opportunities to improve team performance.\n#LI-remote

Why Join The Standard?

We have built an enduring legacy of stability, financial strength and exceptional customer service through the contributions of the service-oriented people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:

A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions\nAn annual incentive bonus plan\nGenerous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually - PTO increases with tenure\nA supportive, responsive management approach and opportunities for career growth and advancement\nPaid parental leave and adoption/surrogacy assistance\nAn employee giving program that double matches your donations to eligible nonprofits and schools\nIn addition to the competitive salary range below, our employee-focused benefits support work-life balance. Learn more about working at The Standard.

Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on a variety of factors including individual and organizational performance.

The actual compensation for this role will be based on a combination of education and experience, knowledge and skills, position budget, internal equity, and market data.

Salary Range:\n$76,250.00 - $111,500.00

Positions will be posted for at least 5 days from original posting date.

Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Mortgage Investors, LLC, StanCorp Investment Advisers, Inc., and American Heritage Life Insurance Company and American Heritage Service Company, marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender identity, sexual orientation, age, disability or veteran status or any other condition protected by federal, state or local law. Except where precluded by state or federal law, The Standard will consider for employment qualified applicants with arrest and conviction records pursuant to the San Francisco Fair Chance Ordinance. The Standard offers a drug- and alcohol-free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on The Standard's property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation and employment, education and licensing verification as a condition of employment. After any conditional offer of employment is made, the background check will include an individualized assessment based on the applicant's specific record and the duties and requirements of the specific job. Applicants will be provided an opportunity to explain and correct background information. All employees of The Standard must be bondable.\n","The next part of your journey is right around the corner - with The Standard.

A genuine desire to make a difference in the lives of others...","Disability Claim Specialist - IDI",[106],["B","2851660165"],"Work at StanCorp Financial Group","21 hours ago","/jobs/2851660165-disability-claim-specialist-idi","Portland, OR, United States","/jobs?keyword=StanCorp+Financial+Group","/jobs?location=Portland%2C+OR%2C+United+States","/jobs?keyword=Disability+Claim+Specialist+-+IDI",{"_65":66,"_67":107,"_69":108,"_70":109,"_90":110},"Portland","Portland, OR, United States, 97204","OR","97204",["D",1775566800000],"Crawford & Company","Job Description\nDisability Benefit Specialist – Remote

Make an impact from anywhere—and love what you do!

What’s in it for you?

Work remotely – your office, your vibe!

Help people when they need it most.

Be part of a team that values compassion, clarity, and results.

Join us as a Disability Benefit Specialist and play a key role in evaluating claims, determining benefit eligibility, and guiding employees toward successful return‑to‑work strategies. Use your expertise in disability policies and medical/vocational issues to deliver clear, timely decisions and exceptional support.

Responsibilities

Manages assigned caseload of disability claims for Short Term/Long Term Disability.

Communicates with claimants, employers, and various medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits.

Applies the appropriate contractual provisions; case management resources; and claim processes to ensure eligibility requirements and liability decisions are accurate.

Provides superior customer service by rendering benefit determinations within expected timeframes and quickly responding to all inquiries.

Demonstrates ability to independently manage disability claim and apply clinical guidance as provided on more complex claims.

Verifies on‑going disability and participates in claim reviews with specialized resources including nurses, physicians, vocational rehabilitation, etc. to discuss return to work opportunities as appropriate.

Uses disability claim system to manage and authorize payment on claims while meeting all service, timeframe, and production standards.

Ensures a timely and appropriately coordinated transition of claims from STD to LTD, providing a well‑managed and seamless claims experience to claimants.

Analyzes claims activity and prepares reports for clients/carriers and management as needed.

Becomes familiar with specialized client instructions and performance guarantee standards for any assigned clients. Serves as a resource for trainees and Claims processors as needed.

Effectively works together in a team setting.

Other duties as assigned.

Qualifications

Bachelor’s degree or equivalent experience required.

2+ years of STD/LTD claims adjudication.

Experience in the TPA or self‑administration services is desired.

Experience with FMLA/State leave claims is a plus.

Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations.

Ability to work independently while assimilating various technical resources.

Computer knowledge in Excel, Word, web‑based systems, etc.

Good verbal and written communication skills.

Knowledge of ERISA regulations, required offsets and deductions, disability duration and Social Security procedures.

Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.

Strong ability to identify, analyze and solve problems.

Effective interpersonal skills capable of dealing with external sources and all levels of employees.

About Us\nWhy Crawford? Because a claim is more than a number—it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days, and by helping to restore their lives we are helping to restore our community—one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry‑leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

When you accept a job with Crawford, you become a part of the One Crawford family.

Our total compensation plans provide each of our employees with far more than just a great salary.

Benefits

Pay and incentive plans that recognize performance excellence

Benefit programs that empower financial, physical, and mental wellness

Training programs that promote continuous learning and career progression while enhancing job performance

Sustainability programs that give back to the communities in which we live and work

A culture of respect, collaboration, entrepreneurial spirit and inclusion

Crawford & Company participates in E‑Verify and is an Equal Opportunity Employer. M/F/D/V. Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

#J-18808-Ljbffr\n","Job Description\nDisability Benefit Specialist – Remote

Make an impact from anywhere—and love what you do!

What’s in it for you?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 Representative, Workers Compensation, Disability, Microsoft, Claims, Administrative, Insurance

","

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Every career with Hearst Television is like a story. How it develops, where it takes you, the milestones you reach along the way – you’ve got a lot to look forward to as your unique career story unfolds. Hearst Television, a subsidiary of Hearst, owns and operates local television and radio stations serving nearly three dozen U.S. cities, reaching 24 million U.S. television households. Through its partnership with nearly all major networks, Hearst Television distributes national content across more than 120 video channels, including programming from ABC, NBC, CBS, CW, MY Net, MeTV, This TV, Estrella, and more. Hearst Television is recognized as one of the industry's premier companies. It has been honored with numerous awards for distinguished journalism and industry innovation, including the Walter Cronkite Award for political journalism, the national Edward R. Murrow Award, the DuPont-Columbia Award, and the George Foster Peabody Award.

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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 m Representative, Disability, Claims, Medical, Administrative, Insurance, Skills, Management

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