Providing case management and claim determinations for disability cases at Sedgwick. Analyzing medical documentation and communicating with claimants on their claims.
Responsibilities
Provide disability case management and claim determinations based on complex medical documentation
Analyze, approve and authorize assigned claims and determine benefits due pursuant to a disability plan
Communicate clearly with claimant and client on all aspects of claims process
Requirements
Bachelor’s degree from an accredited university or college preferred
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience required
Knowledge of regulations, required offsets and deductions
Working knowledge of medical terminology and duration management practices
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