Disability Representative Sr

We need to output HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Must preserve all substantive info. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Also remove lines like "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" maybe considered marketing but not boilerplate? It's about company culture; could be part of About the role? Might be considered fluff but it's substantive? It's about company recognition; maybe keep as part of About the role. However we need to avoid filler. The instruction: "Prefer a few substantive sections over many thin ones." So we can combine. We need sections: About the role (intro paragraph), Responsibilities (essential functions), Requirements (maybe Education & Licensing, Experience), Skills (Skills & Knowledge), Benefits (benefits package), Pay (pay range), Schedule (maybe not present; no schedule info, so omit). Also maybe Work Environment could be part of Requirements? But we only have headings list; we can include Work Environment if we want but not in list; but we should stick to given headings. The instruction: "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., meaning we can use those headings; we could also use others? Probably better to stick to those. So we will create sections for those that have content. Let's extract content: Intro: "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." plus maybe the recognitions lines. We'll include them as part of About the role. Responsibilities: Essential Functions And RESPONSIBILITIES block. We'll list each bullet as

. Also Additional Functions And RESPONSIBILITIES: "Performs other duties as assigned. Supports the organization's quality program(s)." We'll include those as list items. Requirements: Education & Licensing, Experience. Could be under Requirements heading. Also maybe Qualifications heading separate? The list includes Qualifications as a possible heading. But we have both Requirements and Qualifications. The posting has "Qualifications Education & Licensing" and "Experience". Could treat Qualifications as heading for Education & Licensing, and Requirements for Experience? But better to follow typical: Requirements includes Education & Experience. Qualifications maybe skills? However we also have Skills & Knowledge heading. So we can map: - About the role: intro paragraph. - Responsibilities: essential functions + additional. - Requirements: Education & Licensing + Experience. - Skills: Skills & Knowledge. - Benefits: benefits package. - Pay: pay range. - Schedule: not present, omit. We must not include headings with filler like "commensurate with experience". Not present. We need to preserve all substantive info. Let's capture details. From text: About the role intro: "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." Add recognitions: "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". Might be considered fluff but it's specific. We'll include as a sentence. Responsibilities essential functions list: - Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan. - Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. - Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians). - Communicates with the claimants providers to set expectations regarding return to work. - Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. - Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions. - Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence. - Informs claimants of documentation required to process claims, required time frames, payment information and claims status either 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 claimants physician and employer. - Refers cases as appropriate to team lead and clinical case management. - Maintains professional client relationships. Additional functions: - Performs other duties as assigned. - Supports the organization's quality program(s). Requirements: Education & Licensing: "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 required." Skills & Knowledge: - Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures - Working knowledge of medical terminology and duration management - 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 - Excellent negotiation skills - Ability to meet or exceed Performance Competencies Work Environment: maybe not needed. Benefits: "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." Pay: "For the jurisdiction noted in this job posting only, the range of pay for this role is $20.78 - $23.50/hr." Schedule: none. We also have note about credit security clearance: "NOTE: Credit security clearance, confirmed via a background credit check, is required for this position." That's substantive; we need to include it somewhere. Could be under Requirements or maybe a separate section like "Requirements" includes that. We'll add as a bullet under Requirements. Also there is statement: "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." That's boilerplate; we should remove. Also: "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." That's related to pay but we already have pay range; we could keep the sentence about actual compensation influenced by factors? Might be considered boilerplate but it's substantive about pay. However instruction: remove duplicated lines, cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. This is legal compensation disclosure; maybe keep? It's not boilerplate? It's a standard statement; but it's about pay transparency. Might be considered legal boilerplate. Safer to omit? The instruction: remove legal/EEO/equal-opportunity/scam-warning boilerplate. This is legal compensation disclosure; could be considered boilerplate. I'd omit to keep concise. Also: "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." That's EEO/diversity encouragement; should be removed as EEO boilerplate. Thus final HTML:

About the role

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.

Responsibilities

• Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan.
• Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan.
• Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians).
• Communicates with the claimants providers to set expectations regarding return to work.
• Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
• Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions.
• Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence.
• Informs claimants of documentation required to process claims, required time frames, payment information and claims status either 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 claimants physician and employer.
• Refers cases as appropriate to team lead and clinical case management.
• Maintains professional client relationships.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

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.
• Credit security clearance, confirmed via a background credit check, is required for this position.

Skills

• Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
• Working knowledge of medical terminology and duration management
• 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
• Excellent negotiation skills
• Ability to meet or exceed Performance Competencies