Disability Representative Sr

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.

Location:

We love flexibility-and connection. This role follows a hybrid work model, blending remote flexibility with in‑office collaboration. To make that possible, candidates should live near one of our Centers of Excellence, so you can join your team on‑site 3 days a week!

Dubuque, IA: 4141 Westmark Drive, Dubuque, IA 52002

Cedar Rapids, IA: 333 1st Street SE Ste. 200 Cedar Rapids IA 52401

Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241

Dublin, OH: 5500 Glendon Court Dublin OH 43016

New Albany, OH: 7795 Walton Parkway New Albany, OH 43054

Chicago, IL: 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604

Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268

Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063

Memphis, TN: 8125 Sedgwick Way, Memphis TN 38125

Southfield, MI: 300 Galleria Officentre Southfield MI 48034

Orlando, FL: 12650 Ingenuity Dr Orlando FL 32826

Eden Prairie, MN: 11000 Prairie Lakes Drive Eden Prairie, MN 55344

West Hills, CA: 8521 Fallbrook Ave West Hills, CA 91304

At Sedgwick, caring counts—and so do you. We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now, we're looking for experienced, compassionate professionals to join us as Senior Disability Representatives.

If you thrive in a collaborative environment, value integrity, and want a career where your work truly changes lives—this is your moment.

As a Senior Disability Representative, you'll be the go‑to guide for individuals navigating the challenges of disability claims. Your role blends technical expertise with human connection—you’ll interpret medical documentation, determine benefits, and champion return‑to‑work strategies, all while delivering service that's empathetic, precise, and impactful.

• Owning complex disability claims from start to finish with confidence and independence.
• Decoding medical records and disability plans to determine eligibility and next steps.
• Managing claims involving comorbidities, ADA accommodations, and concurrent plans.
• Partnering with healthcare providers and employers to create successful return‑to‑work outcomes.
• Communicating with clarity, compassion, and professionalism‑every single time.
• Coordinating investigative efforts and vendor referrals when needed.
• Building strong client relationships while upholding Sedgwick’s gold‑standard quality.
• Independently evaluates complex claims and makes approval decisions or recommends denial to the team lead in alignment with the disability plan.
• Carefully reviews and interprets detailed medical records—including attending physician statements, office notes, and operative reports—to assess whether the claimant meets the plan’s definition of disability.
• Oversees multifaceted claims involving comorbid conditions, overlapping benefit plans, ADA accommodations, and cases that fall outside standard guidelines.
• Applies clinical resources such as duration guidelines and consults with in‑house clinicians to support case assessments when necessary.
• Calculates benefits due under the disability plan and ensures timely processing of payments, approvals, and adjustments—including offsets for workers’ compensation, Social Security Disability Income (SSDI), and other applicable sources.
• Clearly communicates with claimants regarding required documentation, timelines, payment details, and claim status through phone calls, written correspondence, and system updates.
• Engages with healthcare providers to establish expectations for return‑to‑work timelines and…