Disability Team Coordinator
IF YOU CARE, THERE'S A PLACE FOR YOU HERE
For a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.
As the largest provider of disability and absence management solutions, Sedgwick offers a combination of services covering every possible time away from work scenario. Our clients depend on us to support and improve the health and productivity of their workforce in a way that is cost-effective, efficient and compliant.
PRIMARY PURPOSE: To assist with claims support and examiner workload management; to providing guidance, training and mentoring to claims examiners; and to coordinate support activities and lead department projects within the unit.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Maintains claim caseload; analyzes mid and higher-level disability claims to determine benefits; ensures ongoing adjudication of claims; and provides appropriate risk management for assigned claims.
- Directs and monitors workflow and workload assignments for assigned team(s).
- Reviews benefit approval recommendations and denial letters as necessary.
- Conducts diary reviews of claims as directed by claims supervisor.
- Manages data integrity reports; distributes reports to appropriate examiners and ensures claim updates have been made; analyzes reports for trends; and makes recommendations to management for error reduction.
- Assists claims supervisor in facilitating team meetings and other communication tools.
- Assists claims supervisor in identifying training needs and in development of training programs for assigned team(s); provides training and coaching for team members as appropriate.
- Maintains professional client relationships.
ADDTIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
Education & Licensing
Baccalaureate degree from an accredited college or university preferred.
Two (2) years experience with disability claims required.
Skills & Knowledge
- Knowledge of regulations, offsets and deductions, disability duration, medical management practices and social security application procedures
- Excellent oral and written communication, including presentation skills
- 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
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: 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
Complex Problem Solving