Jobs in the United States

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Added 2 mins ago
PT Customer Service Representative
Planet Fitness
Jamison, PA
Customer Service Representative Responsibilities:
Added 5 mins ago
BC
Assessment Support Manager
Butte County
Oroville, CA
- $29.32 to $39.28 USD / hour
…implementing policies and procedures for assigned division, program and project management, and reporting. Incumbents serve as a professional-level resource for research, analyses, and…
Added 6 mins ago
S
Store manager - Prince George's County, MD
Starbucks
Lanham, MD
- $69,000 to $96,600 USD / year
…retirement plan with employer match, a discounted company stock program (S.I.P.), Starbucks equity program (Bean Stock), incentivized emergency savings, and financial well-being tools.…
Added 6 mins ago
Onsite Service Specialist - Baltimore, MD
MSC Industrial Supply Co.
Baltimore, MD
The On-Site Service Specialist is responsible for delivering exceptional customer service and inventory management at large, dedicated customer locations. This role supports procurement,…
Added 14 mins ago
NC
Aging Care Management Supervisor 2 – Protective Services
Northampton County
Bethlehem, PA
- $28.5 USD / hour
…and formulating, implementing, or directing an appropriate service plan. This requires in-depth interviewing to obtain comprehensive information about consumer needs, counseling, providing…
Added 14 mins ago
NC
Casework Supervisor (CYF) - GPS Intake
Northampton County
Bethlehem, PA
- $26.1 USD / hour
…review of all assigned cases to ensure proper case planning and service provision. Reviews and determines referrals requiring continuing (post intake) agency involvement and recommends…
Added 14 mins ago
NC
Caseworker 2 – Children, Youth & Families – General Protective Services Intake
Northampton County
Bethlehem, PA
- $26.71 USD / hour
…(i.e., Caseworker 3). Assesses safety of children and arranges service provision utilizing appropriate family, school, and community resources to meet the needs of the family. Makes…
Added 21 mins ago
Bilingual Bosnian Business Sales Representative - Territory Accounts
AT&T
Kirkwood, MO
As a Bilingual Bosnian Business Sales Representative - Territory Accounts , you will own a defined local geography and focus on creating new business with small and mid-sized companies.…
Added 21 mins ago
Bilingual Bosnian Business Sales Representative - Territory Accounts
AT&T
Saint Louis, MO
As a Bilingual Bosnian Business Sales Representative - Territory Accounts , you will own a defined local geography and focus on creating new business with small and mid-sized companies.…
Added 24 mins ago
Outside Sales
Black Cedar Group
lincoln, NE
We are seeking a highly motivated and energetic Outside Sales Representative to join our team. In this role, you will generate leads, attract new clients, and close deals. Your…
Added 24 mins ago
Outside Sales
Black Cedar Group
Omaha, NE
We are seeking a highly motivated and energetic Outside Sales Representative to join our team. In this role, you will generate leads, attract new clients, and close deals. Your…
Added 25 mins ago
Store Manager in Training
CK Circle K Stores Inc.
United States
Ability to supervise and train for the use of equipment, tools and materials listed in the Customer Service Representative (CSR) and Assistant Site Manager (ASM) job description.
Added 25 mins ago
Store Manager in Training
United States
Ability to supervise and train for the use of equipment, tools and materials listed in the Customer Service Representative (CSR) and Assistant Site Manager (ASM) job description.
Added 25 mins ago
Customer Service Representative
CK Circle K Stores Inc.
United States
We want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.
Added 25 mins ago
Customer Service Representative
CK Circle K Stores Inc.
United States
We want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.
Added 26 mins ago
Recruiting Manager
Swank Motion Pictures
Remote, United States
Builds strong relationships with University Partners, and serves as a representative for Swank at career fairs, various on-campus events, and speaking engagements
Added 48 mins ago
Inside Sales Representative
Employee Owned Holdings, Inc.
Lafayette, LA
The Inside Sales Representative is an important role for managing some of Hydraquip’s largest accounts in cooperation with outside sales representatives, purchasing and warehouse personnel.…
Added 48 mins ago
Inside Sales Representative
Employee Owned Holdings, Inc.
Midland, TX
The Inside Sales Representative is an important role for managing some of Hydraquip’s largest accounts in cooperation with outside sales representatives, purchasing and warehouse personnel.…
Added 48 mins ago
Inside Sales Representative
Employee Owned Holdings, Inc.
Tampa, FL
Serve as the primary internal contact for assigned accounts, ensuring consistent and professional handling of orders, quotations, and service requests.
Added 48 mins ago
Inside Sales Representative
Employee Owned Holdings, Inc.
Memphis, TN
The Technical Inside Sales Representative requires someone with technical aptitude interested in customer facing work to start in inside sales to learn about our products, customer…
Added 50 mins ago
LV
Radio Systems Specialist
Las Vegas Metropolitan Police Department
Las Vegas, NV
- $32.37 to $47.91 USD / hour
Participate in the LVMPD Mental Wellness Program.
Added 57 mins ago
WR
Safety Program Manager (Safety Specialist 2)
Water Resources Department
United States
- $5,907 to $8,717 USD / month
Are you looking for a position where you can build a successful safety, health and wellness program for a growing Natural Resources agency? We’re looking for an experienced, compassionate,…
Added 1 hour ago
Short Hour-Coordinator Hospital Operations (bed control)
Kaiser Permanente
Honolulu, HI
Acts as on-site administrative representative for Hospital Administration outside of customary business hours. Communicates with and reports to Administrator On-Call issues affecting…
Added 1 hour ago
Business Development Representative (Americas)
Oyster
Remote, United States
Joining as a Business Development Representative (BDR) is your chance to take your outbound experience to the next level and build a long-term career in tech sales. You’ll sharpen your…
Added 1 hour ago
Business Development Representative (Americas)
Oyster
Remote, United States
Joining as a Business Development Representative (BDR) is your chance to take your outbound experience to the next level and build a long-term career in tech sales. You’ll sharpen your…

Sedgwick Claims Management Services Inc.

Disability Representative Sr

Coralville, IA, United States

Apply on sedgwick.wd1.myworkdayjobs.com About employer

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Job details

Education: High school diploma
Posting language: English
Posted: Nov 9, 2026

Original 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

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.

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.

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Jobs in the United States