Top 280 Disability representative sr Jobs in Detroit, Mi

Disability Representative Sr
Sedgwick —Southfield, MI
- Full-time
- Hybrid work
- Writing skills
- Office
- High school diploma or GED
13d
Activities Aide - Riverview Jefferson
Riverview Health and Rehab - Jefferson —Detroit, MI
- High school diploma or GED
- Ability to lift 50 pounds
- Communication skills
- Health insurance
- Dental insurance
Sr. Customer Service Representative
Packaging Corporation of America —Plymouth, MI
- $55,000 - $68,000 a year
- Overtime
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Paid holidays
Activities Aide
Riverview Health & Rehab Center - Jefferson —Detroit, MI
- High school diploma or GED
- Ability to lift 50 pounds
- Communication skills
- Health insurance
- Dental insurance
5d
Talent Acquisition Specialist
Pacific West Site Services, Inc. —Detroit, MI
- $70,000 - $85,000 a year
- Full-time
- Ability to walk for extended periods
- Mid-level
- Driver's License
Quick Apply
Sr. Medical Science Liaison - Obesity - MI
Amgen —Detroit, MI
- $172,344.30 - $233,171.70 a year
- Medicine
- Bachelor's degree
- Doctor of Philosophy
- Disability insurance
- Health insurance
Social Worker Adult Day Program
Jewish Senior Life of Metropolitan Detroit —West Bloomfield Township, MI
- Full-time
- Background check
- Master of Social Work
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Senior Solid Waste Client Manager
BEL Environmental Engineering —Livonia, MI
- From $120,000 a year
- Full-time
- Engineering
- 11+ years
- Business development
- Paid parental leave
- Health savings account
Quick Apply
Solid Waste CQA Client Manager
BEL Environmental Engineering —Livonia, MI
- From $110,000 a year
- Full-time
- Background check
- Management
- Construction site
- Paid parental leave
- Health savings account
Quick Apply
Senior Solid Waste Project Manager
BEL Environmental Engineering —Livonia, MI
- From $100,000 a year
- Full-time
- Background check
- 7 years
- Engineering
- Paid parental leave
- Health savings account
Quick Apply
Senior PIP Litigation Claim Specialist - Michigan
ACS Auto Club Services, Inc. —Michigan
- $76,700 - $102,000 a year
- Weekends as needed
- Hybrid work
- Anatomy knowledge
- 5 years
- Writing skills
- Paid jury duty
- Health savings account
14d
Timepiece Supervisors - Panerai and IWC
Tapper's Diamonds & Fine Jewelry —Troy, MI
- $55,000 - $65,000 a year
- Weekends as needed
- Bilingual
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Senior Engineer - Finished Vehicle Logistics
Ryder System —Warren, MI
- $75,000 - $85,000 a year
- Full-time
- Customer service
- Computer literacy
- System design
- Disability insurance
- Health insurance
Applications Specialist, Press Brake
BLM GROUP —Novi, MI
- $25 - $40 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Up to 50% travel
- Health insurance
- Dental insurance
11d
Director of Human Resources - Hayward Tyler
Gallagher, Flynn & Company —Rochester Hills, MI
- $160,000 - $220,000 a year
- Full-time
- Master's degree
- Bachelor's degree
- Travel
- Health savings account
- Paid holidays
Quick Apply
12d
Survey Crew Chief
SME —Plymouth, MI
- Overtime
- High school
- Construction site
- 5 years
- Profit sharing
- Health insurance
Quick Apply
Senior Financial Analyst
Penske Truck Leasing and Logistics —Dearborn, MI
- Microsoft Access
- Pass drug screening
- Mid-level
Senior Training & Development Specialist
Toyoda Gosei North America Corporation —Troy, MI
- Hybrid work
- Office
- Analysis skills
- Bachelor's degree
Quick Apply
Sr. Project Manager (OPERATIONS)
thyssenkrupp Materials NA, Inc. —Southfield, MI
- $109,000 - $163,000 a year
- Email
- 8 years
- Bachelor's degree
- Travel
- Paid holidays
- Health insurance
10d
Sr. Director Purchasing
Magna International —Southfield, MI
- Full-time
- Engineering
- Office
- Analysis skills
Quick Apply
5d

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disability representative sr jobs near detroit, mi

Disability Representative Sr

Sedgwick -
Southfield, MI

Apply Now

Job Details

Full-time
13 days ago

Qualifications

High school diploma or GED

Full 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

Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:

Southfield, MI : 300 Galleria Officentre Southfield MI 48034

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.

Apply Now

Refine Your Search

disability representative sr jobs in detroit, mi

Disability Representative Sr

Activities Aide - Riverview Jefferson

Sr. Customer Service Representative

Activities Aide

Talent Acquisition Specialist

Sr. Medical Science Liaison - Obesity - MI

Social Worker Adult Day Program

Senior Solid Waste Client Manager

Solid Waste CQA Client Manager

Senior Solid Waste Project Manager

Senior PIP Litigation Claim Specialist - Michigan

Timepiece Supervisors - Panerai and IWC

Senior Engineer - Finished Vehicle Logistics

Applications Specialist, Press Brake

Director of Human Resources - Hayward Tyler

Survey Crew Chief

Senior Financial Analyst

Senior Training & Development Specialist

Sr. Project Manager (OPERATIONS)

Sr. Director Purchasing

I want to receive the latest job alert for disability representative sr in detroit, mi

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