378 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 : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. Provides clear and appropriate...

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 : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. Provides clear and appropriate...

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 : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. Provides clear and appropriate...

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 : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. Provides clear and appropriate...

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 : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. Provides clear and appropriate...

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 : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. Provides clear and appropriate follow-up...

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 PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. Provides clear and appropriate...

Description Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Miscellaneous Medical Facilities Unit. This is a high‑visibility, hands‑on role for an experienced professional‑liability claims handler with deep Miscellaneous Medical Facilities (MMF) and Long‑Term Care (LTC) facility PL expertise. With minimal supervision, the Complex Claims Specialist will manage a book of specialty MMF/LTC Professional Liability Claims through the entire lifecycle, applying advanced coverage interpretation, clinical issue spotting, complex litigation management and prudent reserving to resolve high‑exposure matters economically and defensibly.   Why this role matters Lead ownership of complex facility professional liability claims (nursing homes, assisted living, hospice, home health, ancillary providers). Opportunity to shape claim strategy on high‑severity matters, coordinate clinical/expert resources, and act as an internal...

At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship.  We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together.  Come be a part of this journey with us as we champion lives! The Director, Clinical & Vocational Services is responsible for strategic and tactical leadership of the Clinical and Vocational (CV) services who support Employee Benefits (EB) claims. This role manages the performance of clinical care and vocational rehabilitation managers and programs ensuring quality, effectiveness, efficiency and service delivery. The Director collaborates with claims leadership as well as internal/external business partners to achieve business objectives and impact business results.  What you will do: Performance & Service...

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...

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 Advocacy Coordination Team Specialist PRIMARY PURPOSE:  To actively research, resolve, and administer escalated inquires for all lines of business including but not limited to FMLA, Accommodations, and disability claims; and to execute technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial payment processing, and error correction of complex or high exposure claims.  ESSENTIAL FUNCTIONS and...

Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home. As a leader in the home services software-as-a-service (“SaaS”) space, we’ve built deep relationships with approximately 30 thousand companies that are key to the...

Company: Marsh McLennan Agency Description: Workers’ Health Clinical Consultant Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn’t happen overnight. It’s a result of hard work by extraordinary people. More than 11,000 of the industry’s brightest talents drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Workers’ Health Clinical Consultant at Marsh McLennan Agency (MMA). MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With more than 200 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world’s leading professional services firm, Marsh McLennan (NYSE: MMC). A day in the life. As our Workers' Health Clinical Consultant , on...

Together we fight for everyone’s opportunity for a better financial future. We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future.  We know that reaching this future depends on our actions today. Like our Purpose Statement, Voya believes in being bold and committed to action.  We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully...

Position Title Fraud Detection Analyst - Hicksville, NY Location Hicksville, NY 11801 Job Summary The Fraud Detection Analyst plays a critical role in protecting the Bank’s assets by proactively identifying and mitigating fraudulent activity. This position is responsible for reviewing daily fraud detection reports, analyzing suspicious transactions, and making timely, risk-based decisions to prevent losses. The analyst follows established procedures to ensure timely and accurate resolution of fraud cases while supporting a secure and trustworthy banking experience for customers. The role also supports internal and external stakeholders by responding to fraud-related inquiries and collaborating with industry peers to strengthen fraud prevention efforts. Pay Range: $43,875 - $55,941 - $68,006 ***This position will report to our Hicksville, NY headquarters on a hybrid schedule. Pay Range: Local Minimum Wage - $0.00 - $0.00 Job Responsibilities: Fraud Detection...

The Claim Specialist investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Conducts training classes (including research and position papers) for less experienced Claim Department Representatives. Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision.  This position will be working specifically with South Carolina and Florida claims.  Experience in both of these states is ideal. Principal Duties and Responsibilities *  **Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the   life of the file as needed. *...

Description Summary: The Commercial Regulatory Onboarding Specialist, Sr will complete regulatory customer onboarding reviews, working closely with deal teams to onboard or update customer profiles. This individual will apply their knowledge and expertise of regulatory functions, banking regulations, enhanced due diligence (EDD), and BSA/AML & beneficial ownership requirements. Additionally, they will assist other team members with complex onboarding situations, provide input during collaborative sessions such as team meetings, and support the manager in their efforts. This person will also offer value-added feedback on process improvements and assistance in the continuous improvement culture.  High importance is placed on attention to detail, organization, and accuracy. Duties and Responsibilities: Supports management by taking ownership of complex deals, duties, and assignments. First-line decision...

Description Summary: The Senior Sales Support Specialist serves as a subject matter expert on HNB-Inventory Finance (IF) Know Your Customer (KYC) requirements and in preparing or reviewing documents for all new and existing customer “complex” ownership structure and non-standard documentation requests. The Sr Specialist will collaborate with Sales Support, Portfolio Management and Credit staff that require guidance on documentation, KYC and Engine data integrity matters.  Duties & Responsibilities: Work closely with stakeholders to understand the customer/prospect organizational structures and identify information needed from customer/prospects to satisfy HNB-IF KYC and loan documentation requirements. Prepare manual and/or customized loan documents for layered and complex organizational structure prospects and customers. Minimize negative customer impact by resolving questions and issues in a timely...