401 disability clinical specialist jobs found

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 Clinical Specialist PRIMARY PURPOSE : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee absence from work.  ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs standard clinical reviews of referred medical claims based on...

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 Clinical Specialist PRIMARY PURPOSE : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee absence from work.  ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs standard clinical reviews of referred medical claims based on client...

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 Clinical Specialist - Remote PRIMARY PURPOSE : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee absence from work.  This role is fully remote in the US. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs standard clinical...

Job Posting End Date: September 01 Who are we? We’re a specialist employee benefits provider, striving to create healthy, happy workplaces. As part of the international Unum Group, we’re on a collective mission to help the working world thrive. The role What will you be doing? Make a meaningful impact with your clinical expertise At Unum, we're here to help people when they're facing some of life's most challenging moments. As an Insurance Nurse Specialist, you'll use your nursing knowledge and professional judgement to support fair, informed and timely decisions for customers who are unable to work due to illness or injury. What will you bring? This is an opportunity to apply your clinical expertise in a different way, working alongside Claims Assessors, Rehabilitation professionals and medical colleagues to understand the impact of health conditions on an individual's ability to work and recover. If you're a Registered General Nurse looking for a...

At Genworth and CareScout, we're on a mission to simplify and dignify the aging experience.  The truth is, most of us will help a parent, spouse, family member, friend, or neighbor navigate aging and care at some point in our lives. We've been there ourselves. That's why we're building better ways to help people find, fund, and understand aging care all while being supported every step of the way.  We're a team of curious problem-solvers, compassionate listeners, and people who care about making a difference. We value diverse perspectives and are committed to fostering an inclusive culture where every team member feels respected, supported, and empowered to bring their authentic self.  Our four values guide our strategy, our decisions, and our interactions:  Make it human. We care about the people that make up our customers, colleagues, and communities.  Make it about others. We do what’s best for our customers and collaborate to drive progress.  Make it happen. We...

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 Return-to-Work Specialist Return to Work Specialist Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of accommodations, restrictions, and rehabilitation plans. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment.  Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most...

Job Description: Job Description Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own. We’re actively seeking a talented Senior Claims Specialist - Short Term Disability join our Workforce Benefits Team (remote) in Chattanooga, TN. As a Senior Claims Specialist - Short Term Disability, you’ll move Pacific Life, and your career, forward by leading the end-to-end adjudication of complex Short Term Disability claims, partnering...

Sr Ability Analyst - C409AN Ability Specialist - C409BN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.           Selected applicants will be considered for a start date of 11/02/26. The Senior Ability Analyst is responsible for investigating and managing long-term disability claims to make timely, accurate, and customer ‑focused benefit determinations.   This role partners closely with customers, medical providers, employers, and internal stakeholders to evaluate eligibility, support recovery, and facilitate a safe and responsible return to work when appropriate. Using medical, vocational, financial, and functional information, the Senior Ability Analyst manages claims through initial and ongoing decision points...

The salary range for this job posting is $55,132.00 - $110,642.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. Candidates who reside near our Charleston, WV office will work on average 1 day a week in the office. However, we are open to considering candidates who can work remote in any of our listed payroll approved states. This role will report to a Director, Workers' Compensation Claims. Are you a Referral? If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct...

Company Details   Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker’s successful and speedy return to work is good for people and good for Berkley’s insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology to deliver the best outcome for injured workers and Berkley’s operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers’ compensation cases.   To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an...

The Training Specialist is responsible for developing the knowledge and presentations skills of CERIS Operations department staff trainers. This role ensures that CERIS is equipped with an Operations workforce that can optimize its current and future goals and objectives, and deliver quality services that can meet our clients’ requirements and service expectations. In order to efficiently execute his/her daily responsibilities, the Training Specialist must first possess a deep understanding of the business to articulate what CERIS does and to clearly demonstrate all aspects of the Operations roles in order to be able to successfully train and oversee the department trainers.   Other duties to be carried out by Training Specialist will include conducting classroom, virtual, and field training to internal employees/colleagues, developing training materials as needed, monitoring new hires, and performing other tasks as required by the Training Manager. This is a hybrid...

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 Specialist Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence West Hills, CA. 8521 Fallbrook Ave. Suite 250, West Hills, CA ✨ What we offer: A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support employees and customers from...

The Revenue Cycle Specialist is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activities to ensure the accuracy and appropriateness of reimbursement made to healthcare providers. Responsibilities include identifying payment variances and working internally and externally to resolve such issues. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Analyze and adjust/reprice claims to ensure accurate reimbursement rates in accordance with contractual agreements and payer guidelines Establishing and maintaining accurate pricing structures and rules to ensure competitive and profitable pricing strategies across various claims  Identify errors in reconciliation files across multiple work streams and business units for multiple sites and with external partners Perform contract and reimbursement variance analysis Analyze claims data to identify contractual overpayments and billing...

Position Summary The Director of Clinical & Cost Containment is a senior strategic role within Strategic Benefit Resources (SBR) responsible for leading the clinical consulting and cost containment program capabilities that differentiate SBR's self-funded solutions in the wholesale distribution market. This individual serves as the primary clinical subject matter expert across SBR's book of business, partnering with sales, distribution, and stop-loss consulting teams to evaluate, implement, and communicate clinical cost containment strategies that drive measurable financial outcomes for employer clients. This role bridges clinical expertise and consultative sales support — working directly with broker/consultant partners, TPAs, stop-loss carriers, and employer plan sponsors to identify high-cost claim drivers, optimize vendor program selection, and develop clinical frameworks that reduce plan cost and improve member outcomes. Why This Role Exists As the...

Job Posting End Date: September 03 Who are we? We’re a specialist employee benefits provider, striving to create healthy, happy workplaces. As part of the international Unum Group, we’re on a collective mission to help the working world thrive. The role What will you be doing? As Head of Financial Reporting, you'll play a critical leadership role within Unum UK's Finance function, leading the delivery of internal and external financial reporting while helping ensure the business maintains a robust and effective financial control environment. Reporting to the Financial Controller, this is a highly visible position with regular exposure to senior stakeholders, including Executive Committee members. You'll be responsible for ensuring high-quality financial reporting across multiple regulatory frameworks while driving continuous improvement, efficiency and automation across reporting processes. Key responsibilities include: ○ Leading the preparation and delivery...

Job Posting End Date: August 31 When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:  Award-winning culture  Inclusion and diversity as a priority  Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability  Generous PTO (including paid time to volunteer!)  Up to 9.5% 401(k) employer contribution  Mental health support  Career advancement opportunities  Student loan repayment options  Tuition reimbursement Flexible work environments  *All the benefits listed above are subject to the terms of their...

Job Posting End Date: September 02 Who are we? We’re a specialist employee benefits provider, striving to create healthy, happy workplaces. As part of the international Unum Group, we’re on a collective mission to help the working world thrive. The role What will you be doing? General Summary The role has accountability for the management of all Unum UK’s IT operations assets and ensuring compliance with licensing contracts. The scope includes effective audit and reporting for new and existing technologies, including those hosted in the cloud, SaaS and PaaS solutions. Using experience and expertise, the role will assist development teams and solution architects in designing and deploying their applications so that software licensing costs are optimal. The role has accountability for fully understanding the overall IT budget and its cost drivers, identifying opportunities to optimise spend, driving the implementation of these opportunities, and tracking the...

Role Details Job Title:   Principal DFIR Consultant Location:   Remote, USA Reports to:  Director of Consulting, DFIR Employment Type:   Full time Job Req ID:   2026 - 456 Req Begin Date:  5 /18/2026 About Vector3 Vector3, Inc., is an incident response firm   supporting   TMHCC Cyber and Professional Lines Group (CPLG) .   Vector3 specializes in responding to   Business Email Compromise (BEC)   and   Ransomware   incidents, helping insured organizations investigate, contain, and recover from cyber events. As a DFIR Consultant at Vector3, you will provide critical technical expertise in digital forensics and incident response for TMHCC insureds. You’ll conduct forensic analysis, support containment and recovery, and help insureds understand the scope and impact of cyber incidents. Working closely with senior consultants and analysts, you’ll balance investigative precision with effective communication, ensuring timely and accurate...

Job Description Are you looking for your next opportunity?   Sompo has a unique opportunity for a Senior Casualty Risk Control Specialist in our UK Risk Control team in our UK business.    Our UK Risk Control team offers diverse multi-line risk control services to our internal and external stakeholders. The department supports multiple underwriting departments including but not limited to: - Corporate Property, Casualty, Middle Market P&C, Energy & Renewables and marine. We work to delivery risk control services to our policyholders and build long-term partnerships on the foundation of a strong service proposition.   Location: This position will be based out of our London office. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you’ll be doing: Partnering with Underwriting, Claims, and Management/Executive teams...

Job Description Are you looking for your next opportunity?   Sompo has a unique opportunity for a Senior Claims Adjuster, CPR & Crisis Management in our Claims team.   The role is responsible for evaluating and processing claims estimates and paid claims accurately and in a timely manner, in accordance with policy terms and conditions, to ensure the delivery of the required level of service and the fulfilment of the company’s contractual obligations at all times. It also involves using analytics and insights to drive continuous improvement in the management and use of TPAs and third-party experts. In carrying out these responsibilities, the role holder is expected to consistently demonstrate our Sompo Values in the delivery and performance of the role.   Location: This position will be based out of our London office. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. What...