Disability Representative

Sedgwick Claims Management Services, Inc. Orlando , FL 32801

Posted 3 months ago

Disability Representative

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, "Claim Your Future."

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

#LI-TS *LI-TS #monster

#LI-TS *LI-TS #monster


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Customer Service Representative

Arconic

Posted Yesterday

VIEW JOBS 10/17/2019 12:00:00 AM 2020-01-15T00:00 Job Description SUMMARY: Under general direction, is responsible for maintaining customer satisfaction by establishing and maintaining positive customer relations prior to the delivery of products. Coordinates a wide variety of functions within the company to provide liaison support during pre-delivery times including activities within order processing, customer relations and sales support. Insures accuracy of orders and on time delivery. ESSENTIAL DUTIES AND RESPONSIBILITIES: Duties and responsibilities include the following; other duties may be required and assigned at any time. Must build and maintain positive customer relations. Must have the ability to deal with customers with tact in order to maintain a continuing harmonious relationship. Communicate with customer, using telephone, e-mail, and/or fax. Report discrepancies to sales representative. Notifies Sales Representative if the customer fails to respond. May research and respond to customer inquiries regarding status of order, investigate and resolve production, shipping and scheduling problems, informs customer of changes in product availability or delivery schedules. Receives customer purchase order and reviews quote for accuracy to insure original quote meets purchase order requirements. Enter, update, and revise any changes to customer order into enterprise system, i.e. name, address, contact, etc. Communicate and coordinate any changes to customer order, such as "Push outs," "Pull ins," or order cancellations, with all involved departments. Sorts and files correspondence. Must have understanding and knowledge of company procedures and work instructions. Maintains a safe and organized workstation and follows all company policy, safety and procedures. Must be able to influence and work with other departments/functions to gather required customer information. Primary focal point for all customer inquiries into factory. SUPERVISORY RESPONSIBILITIES: This job has no supervisory responsibilities. Qualifications QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience. Arconic Orlando FL

Disability Representative

Sedgwick Claims Management Services, Inc.