Current jobs related to Disability Representative Sr - Oklahoma City, Oklahoma - Sedgwick

  • Social Security Disability Attorney Wanted

    3 weeks ago

    Oklahoma City, Oklahoma, United States Gpac Full time

    Social Security Disability Attorney WantedWe are seeking a dedicated and motivated Social Security Disability Attorney to join our growing legal team. This position offers an exciting opportunity to help clients navigate the complex Social Security Disability system and make a real difference in their lives.Key Responsibilities:Represent clients in Social...

  • Social Security Disability Attorney Wanted

    2 weeks ago

    Oklahoma City, Oklahoma, United States Gpac Full time

    Senior Social Security Disability AttorneyWe are seeking a highly skilled and dedicated Senior Social Security Disability Attorney to join our team at GPAC. As a key member of our legal team, you will play a vital role in helping clients navigate the complex Social Security Disability system and achieve favorable outcomes.Key Responsibilities:Represent...

  • Social Security Disability Attorney Wanted

    1 month ago

    Oklahoma City, Oklahoma, United States Gpac Full time

    Social Security Disability Attorney OpportunityWe are seeking a dedicated and motivated Social Security Disability Attorney to join our growing legal team. As a Social Security Disability Attorney, you will have the opportunity to help clients navigate the complex Social Security Disability system and make a real difference in their lives.Key...

  • Senior Call Center Representative

    5 days ago

    Oklahoma City, Oklahoma, United States Oklahoma Farm Bureau Insurance Company Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Sr. Call Center Representative to join our team at Oklahoma Farm Bureau Insurance Company. As a key member of our customer service team, you will be responsible for providing exceptional service to our clients, responding to their inquiries, and resolving their issues in a timely and...

  • Senior Patient Services Coordinator

    1 week ago

    Oklahoma City, Oklahoma, United States University of Oklahoma Full time

    Job Title: Sr. Patient Services Representative Job Summary: We are seeking a highly skilled and experienced Sr. Patient Services Representative to join our team at the University of Oklahoma. The successful candidate will be responsible for coordinating patient schedules, providing clerical assistance, and ensuring the smooth operation of our outpatient...

  • Senior Patient Services Coordinator

    2 weeks ago

    Oklahoma City, Oklahoma, United States University of Oklahoma Full time

    Job Title: Sr. Patient Services Representative Job Summary: The University of Oklahoma is seeking a highly skilled and detail-oriented Sr. Patient Services Representative to join our team. As a key member of our clinical operations team, you will be responsible for coordinating patient schedules, providing exceptional customer service, and ensuring the...

  • Leave Representative

    4 weeks ago

    Oklahoma City, Oklahoma, United States Hobby Lobby Full time

    Leave Representative Job DescriptionHobby Lobby Stores, Inc. is seeking a qualified Leave Representative to join our corporate Benefits Department. As a Leave Representative, you will be responsible for the administration and processing of leave of absence cases, ensuring compliance with federal and state leave laws.Key Responsibilities:Oversee and manage...

  • Senior Patient Services Coordinator

    2 weeks ago

    Oklahoma City, Oklahoma, United States OU Health Full time

    Job Title: Sr. Patient Services RepresentativeJob Summary:We are seeking a highly organized and detail-oriented Sr. Patient Services Representative to join our team at OU Health. As a key member of our patient services team, you will be responsible for registering, classifying, admitting, and scheduling appointments for patients. If you have excellent...

  • Customer Service Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States Hobby Lobby Full time

    Job Overview Hobby Lobby is seeking a skilled Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for providing exceptional customer service through email and phone calls. Responsibilities: * Provide quality customer service through email and phone calls * Demonstrate good phone etiquette and be...

  • Patient Account Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States Xpress Wellness Urgent Care Full time

    Job Title: Patient Account RepresentativeXpress Wellness Urgent Care is seeking a highly skilled and detail-oriented Patient Account Representative to join our team. As a Patient Account Representative, you will play a critical role in ensuring the smooth operation of our patient financial services.Key Responsibilities:Collect and verify patient demographic...

  • Customer Service Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States Inceed Full time

    Customer Service RepresentativeWe are seeking a skilled Customer Service Representative to join our team at a great company. As a Customer Service Representative, you will be responsible for providing exceptional customer service to clients through inbound and outbound calls. You will also evaluate customer needs to identify the correct products and...

  • Field Sales Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States AT&T Full time

    Job Summary:AT&T is seeking a highly motivated and results-driven Field Sales Representative to join our team. As a Field Sales Representative, you will be responsible for selling AT&T's products and services to customers in the field, building strong relationships with customers, and meeting sales targets.Key Responsibilities:Sell AT&T's products and...

  • Patient Service Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States Cohesive Staffing Solutions Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Patient Service Representative to join our team at Cohesive Staffing Solutions. As a Patient Service Representative, you will be responsible for ensuring a smooth and efficient patient experience, from admission to discharge.Key ResponsibilitiesAnswer incoming calls and respond to patient...

  • Sales Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States Graybar Full time

    Job SummaryWe are seeking a highly motivated and experienced Sales Representative to join our team at Graybar. As a Contract Exempt Outside Sales Representative, you will be responsible for developing new prospects and maintaining relationships with existing customers to sell our products and achieve maximum gross margin rate.Key ResponsibilitiesPromote and...

  • Patient Services Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States Integris LLC Full time

    Job SummaryWe are seeking a highly skilled Patient Services Representative to join our team at INTEGRIS Health. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and support in a fast-paced clinical environment.Key ResponsibilitiesAnswer telephones and take concise messagesScan and index information into...

  • Customer Service Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States Sagility LLC Full time

    About SagilitySagility is a global leader in business process management, dedicated to optimizing the member and patient experience. With a blend of technology-powered services and decades of healthcare expertise, we drive positive outcomes for our clients.Job Title: Remote Customer Service RepresentativeWe are seeking a highly motivated and customer-focused...

  • Sales Support Representative

    2 weeks ago

    Oklahoma City, Oklahoma, United States FASTENER DISTRIBUTION HOLDINGS LLC Full time

    Sales Support Representative Job DescriptionAt FDH Aero, we are seeking a highly organized and detail-oriented Sales Support Representative to join our team. As a Sales Support Representative, you will play a critical role in supporting our sales team by providing administrative assistance, data entry, and customer communication.Key Responsibilities:Enter...

  • Inside Sales Representative

    3 weeks ago

    Oklahoma City, Oklahoma, United States GRAIL Full time

    Job Title: Inside Sales RepresentativeGRAIL is seeking a highly motivated and results-driven Inside Sales Representative to join our Provider Business Unit. As an Inside Sales Representative, you will play a critical role in expanding our engagement capacity by engaging directly with providers and their staff to educate, onboard, and pull-through demand for...

  • Policy Services Representative

    2 days ago

    Oklahoma City, Oklahoma, United States Oklahoma Farm Bureau Insurance Company Full time

    Job Title: Policy Services RepresentativeJob Summary:As a Policy Services Representative with the Oklahoma Farm Bureau Insurance Company, you will play a critical role in supporting the Policy Service Department by entering updated and corrected policy records into the InsuranceNow computer system. Key Responsibilities:* Assist with daily system tasks as...

  • Automotive Service Representative

    4 days ago

    Oklahoma City, Oklahoma, United States Cooper Auto Group Full time

    Job Title: Automotive Service RepresentativeJob Summary: We are seeking a highly skilled and customer-focused Automotive Service Representative to join our team at Cooper Auto Group. As a Service Cashier, you will be responsible for providing exceptional customer service and engagement while receiving payment for maintenance and repairs.Key...

Disability Representative Sr

3 months ago

Oklahoma City, Oklahoma, United States Sedgwick Full time

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work

Most Loved Workplace

Forbes Best-in-State Employer

Disability Representative Sr.

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.

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

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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $ per hour. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. )