Disability Clinical Specialist

🔥 0 minutes ago

🌾 Iowa – Remote

🌾 Iowa – Remote

💵 $62.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Perform standard clinical evaluations on disability claims requiring additional review • Consult with providers and employees regarding case direction and medical information • Review medical documentation and apply clinical knowledge to substantiate disability and assess impact on job functions • Communicate with employees and providers about clinical status, progress, and work status • Provide follow-up recommendations for ongoing medical management of claims • Achieve appropriate quality audit scores • Act as a clinical resource to claims examiners on medical management, terminology, and claim decisions • Back up key disability claims on an ad hoc basis • Travel as required • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree or equivalent preferred • Current RN, LVN, LPN, CRC, COHN, CVE, LPC and/or LCSW license(s) required • Current license, registration and/or professional designations as required within the jurisdiction • Maintain current clinical expertise through required CEUs • Four (4) years of related experience or equivalent combination of experience and education required • Experience in a direct medical/psychological setting or physical industrial medicine • Previous insurance or related experience • Knowledge of current medical practices in health care management, including orthopedics, general medicine, surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation • Excellent oral and written communication, including presentation skills • Proficient computer skills and working knowledge of Microsoft Office • Analytical and interpretive skills • Strong organizational and multitasking skills • Excellent interpersonal skills • Ability to exercise judgment and critical thinking • Ability to work in a team environment • Ability to meet or exceed Performance Competencies • Ability to sit at a desk for extended periods while operating a computer and phone system • Travel as required

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401(k) and matching • PTO • Disability insurance • Life insurance • Employee assistance • Flexible spending account or health savings account • Other additional voluntary benefits • Work-life balance • Reasonable accommodations when applicable and appropriate