disability specialist

CorVel Corporation

<div>The WC Disability Claims Specialist manages within company best practices workers&rsquo; compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. This role manages the claims toward closure and looks for settlement opportunities throughout reviews.

This is a remote role.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives claims, confirms policy coverage and acknowledgement of the claim</li>
<li>Reviews for validity and compensability of the claim</li>
<li>Reviews and revises reserve and authorizes payments within reserving authority limits</li>
<li>Ensures timely and accurate payment of WC claim benefits, including indemnity and medical</li>
<li>Initiates investigations, including alive and well checks as needed to confirm continued payment of benefits</li>
<li>Manages workers&rsquo; compensation claims toward closure (targeted case load is 250&ndash;300 files)</li>
<li>Develops strategies and pursues settlement and/or claim closures, whenever possible</li>
<li>Communicates claim status with the customer, claimant and client</li>
<li>Adheres to client and carrier guidelines and participates in claim reviews, as needed</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to learn rapidly to develop knowledge and understanding of claims practice</li>
<li>Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets</li>
<li>Strong interpersonal, time management, and organizational skills</li>
<li>Ability to meet or exceed performance competencies</li>
<li>Ability to work both independently and within a team environment</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor&rsquo;s degree or a combination of education and related experience</li>
<li>State Certification as an Experienced Examiner</li>
</ul><ul><li>Minimum of 1 year of industry experience and claims management preferred</li>
<li>Preference for previous experience in WC disability benefit management</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $43,886 - $65,638

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

WC Disability Claims Specialist I - NY Pension PPD

Agios Pharmaceuticals

<div><div>Sickle Cell Specialist, Sickle Cell Disease (Detroit) 
Who we are:
At Agios, we are fueled by connections to transform rare diseases. We foster an inclusive, collaborative culture &ndash; one that sparks bold thinking and strengthens our connections with each other and with the rare disease communities we serve. We embrace diverse backgrounds with respect, active listening, and a commitment to inclusion &ndash; because our differences shape how we hire, collaborate, and innovate. Our team&rsquo;s proven track record of executional excellence, combined with our depth of expertise and dedication, enables us to develop innovative medicines that reflect the priorities of rare disease communities. Our commitment is more than scientific &ndash; it&rsquo;s deeply personal, grounded in the meaningful connections we have built. To learn more, visit www.agios.com and follow Agios on LinkedIn and X. 
The impact you will make:
We are seeking individuals with a demonstrated track record of success in launching rare diseases medicines and who are motivated by building durable markets in complex, underserved therapeutic areas.
The Sickle Cell Specialist should possess an entrepreneurial &ldquo;start-up&rdquo; mentality and values consistent with the patient and science focused Agios culture.
They will be energized by the opportunity to earn trust, advance disease education, and prepare the ecosystem for long-term impact which will lay the foundation for the success of Mitapivat and Agios&rsquo; pipeline of transformative rare genetic disease treatments.
The Sickle Cell Specialist (SCS) will report to a Regional Business Director and will be responsible for raising awareness of Sickle Cell Disease (SCD) and the need for disease education in SCD and the treatment of hemolytic anemia. The SCS will have territory level goals focused on identifying appropriate patients, advancing disease education, and supporting treatment readiness in anticipation of a potential future approval. Additionally, the SCS will be responsible for raising awareness across their respective geographies in anticipation of the initial US approval of Mitapivat for Sickle Cell Disease. 
Territory to include these major markets: Detroit, Milwaukee, and Minneapolis.
This is a field-based role requiring consistent in-person engagement across priority accounts within the territory. 
What you will do:<ul><li>
As a Sickle Cell Specialist, you are the territory business owner, responsible for developing and executing a long-term market building strategy across your geography</li><li>
Lead consistent, multi-touch disease education engagements to advance understanding of SCD pathophysiology, disease burden, and unmet need</li><li>
Develop an integrated plan for your geography reflecting deep analysis, clear prioritization, and disciplined execution</li><li>
Work with all field teams and marketing to ensure alignment on objectives, strategies, and communication</li><li>
Develop credible, trust-based relationships with key customers and continue to build knowledge of the sickle cell marketplace</li><li>
Collaborate with Regional Medical Affairs and Market Access colleagues to ensure seamless coordination and timely patient support</li><li>
Advance appropriate patients toward treatment readiness while continuously assessing performance metrics and adapting strategies</li><li>
Develop strong internal and external relationships to enable appropriate, compliant business partnerships</li><li>
Ensure appropriate and compliant utilization of approved corporate, promotional and other resources to facilitate customer engagements</li><li>
Represent Agios positively and professionally at company meetings and conferences, ensuring your activities are compliant with laws, regulations, policies and guidelines</li><li>
Achieve or exceed sales forecasts and targets, within budget</li><li>
Lead ad-hoc initiatives to contribute to the business as requested</li></ul> 
What Success Looks Like in this role:<ul><li>
Priority HCPs view you as a trusted SCD partner, not just a product representative</li><li>
Disease education conversations deepen over time and lead to earlier identification of appropriate patients</li><li>
 Accounts are prepared to act efficiently once therapy is approved for appropriate patients</li><li>
 Cross‑functional partners rely on your insights to inform strategy and execution</li></ul> 
What you bring:<ul><li>
Bachelor&rsquo;s degree required, Scientific degree a plus</li><li>
Proven track record of success in Rare Disease sales; minimum 5 years&rsquo; experience in rare disease.</li><li>
Sickle Cell/Hematology/Oncology sales experience preferred</li><li>
Experience in building disease awareness and launching first in class therapies</li><li>
Demonstrated business acumen with account management skills, data analysis and understanding, and competitive selling</li><li>
Demonstrated ability to translate complex clinical and scientific concepts into credible, compliant dialogue</li><li>
Demonstrated cross functional collaboration with internal stakeholders including marketing, medical affairs, market access, patient services, and sales operations</li><li>
Demonstrated knowledge of the payer and clinical landscape, especially in specialty &amp; rare diseases</li><li>
Results-oriented with ability to thrive in a fast-paced, entrepreneurial environment</li><li>
Ability to navigate ambiguity and drive results</li><li>
Strong, resourceful, self-starter with an innovative mindset and ability to develop and execute new business solutions</li><li>
Extraordinary commitment to customer experience and standards of excellence</li><li>
Willingness to travel extensively across large geographies</li><li>
Established relationships with Hematology/Oncology HCPs within designated geography strongly preferred</li><li>
Prior experience launching rare disease products strongly preferred</li><li>
Experience leading regional and/or national initiatives strongly preferred</li><li>
Experience working in diseases with access challenges, health equity considerations, or historically underserved patient populations is strongly preferred</li></ul> 
Travel Requirements:
Both virtual or in-person meetings are facilitated as needed and appropriate. Travel requirement will be an average of 50-60% within the territory focusing on the major market areas of Detroit, Milwaukee, and Minneapolis. 
Concerned that you don&rsquo;t check off every box in the requirements listed above? Please apply anyway! At Agios, we value each other&rsquo;s differences and recognize that teams thrive when everyone brings their unique experiences to the table. We are dedicated to building an inclusive, diverse, equitable, and accessible environment where all employees can bring their whole selves to work. If you&rsquo;re excited about this role but your previous experience doesn&rsquo;t align perfectly with the job description, we still encourage you to apply. You may be just the right candidate for this role or another opening! 
Work Location:
Location Specific &ndash; Field/Remote: This is a remote based field position. Employees in field roles must reside within their designated territory. Consistent in-person presence with priority accounts is expected. Travel may be required commensurate to the above job description and/or to attend team meetings and other company events. 
What we will give you:<ul><li>
Deliberate Development. Your professional growth as one of our top priorities.</li><li>
Flexibility. We&rsquo;re all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you&rsquo;re at your best, we&rsquo;re at our best.</li><li>
Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team. For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website.</li><li>
Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance.<ul><li>
The current base salary range for this position is expected to be between $152,440 and $228,660 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators</li></ul></li><li>
Incentive design that recognizes both foundational market building and long-term value creation.</li><li>
Psychological safety. We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries.</li><li>
Commitment to diversity. We strive to foster a welcoming workplace where everyone can thrive. We&rsquo;re continuously looking to improve the inclusivity of our workforce.</li><li>
Commitment to community. We&rsquo;re an active participant in the communities that surround us &ndash; the communities where we live, and the community of people and their loved ones in need of better treatment options for conditions that are often overlooked.</li></ul> 
Interested in learning more about what makes our culture unique? Visit the Inside Agios section of our website.</div></div>

Sickle Cell Specialist, Sickle Cell Disease (Detroit)

State of Ohio

<div><div><div><div><div>The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life.
Ohio is the heart of opportunity, and we envision Ohio as the best place in the nation for people with developmental disabilities to thrive.
Our core values reflect our focus on the experience of each person we support:<ul><li>
Inclusion</li><li>
Partnership</li><li>
Respect</li></ul>
Join Our Team!
Accepting applications for a Part-Time Electronic Design Specialist (DD Council)
Starting Hourly Pay: $30.55 per hour<ul><li>
Tuition Reimbursement (Employee Development Program)</li><li>
Medical Coverage Available the 1st of the Month Following Start Date</li><li>
Free Dental &amp; Vision After 1 Year</li><li>
Generous Benefits Package Including Vacation, Sick, Holiday, and Personal Leave</li><li>
View our full benefits package on our Total Rewards website!</li></ul> 
Key Electronic Design Specialist Tasks:<ul><li>
Provides computer-generated graphic design &amp; visual communications services (e.g., Developmental Disabilities (DD) Council internal/external websites)</li><li>
Maintains &amp; updates pages of DD Council's website using the Innovate Ohio Platform (IOP) Web Content Management system</li><li>
Creates &amp; updates content for website (e.g., news articles, information for events calendar, uploading Council publications, posting Notice of Funds Available (NOFA), press releases, announcements, etc.)</li><li>
Ensures timely posting of all collateral from staff members for DD Council meetings (e.g., agendas, minutes, location, &amp; remote login information)</li><li>
Ensures content &amp; design of website follows Council's approved branding strategies &amp; graphic design collateral</li><li>
Ensures accessibility &amp; usability of pages &amp; uploaded documents (e.g., PDF files &amp; images uploaded to website)</li><li>
Embeds videos &amp; online forms onto web pages, including the use of an online program to create virtual flipbooks of Council's publications &amp; reports</li><li>
Monitors website performance by analyzing statistics by using PIWIK</li><li>
Follows policies &amp; procedures in accordance with IOP, Office of Information Technology (OIT) &amp; DODD directives</li><li>
Writes &amp;/or edits publications developed by DD Council (e.g., booklets, fact sheets, presentations, newsletters, annual reports, etc.)</li><li>
Makes decisions based on the intended use of the publication for how it will be presented (e.g., print publication, online publication, video, or other formats.)</li><li>
Creates &amp; launches dissemination plan of new product</li><li>
Follows DD Council's branding guide to develop layout/design of publications (e.g., booklets, fact sheets, presentations, newsletters, annual reports, website graphics, social media graphics, internal use products, etc.)</li><li>
Coordinates with State Printing for print publications</li><li>
Works collaboratively with Public Awareness grantee to create &amp; post content for all of Council's social media channels (i.e., 
Facebook, Instagram, YouTube, Twitter, LinkedIn)</li><li>
Ensures content &amp; graphics follows Council's approved branding strategy</li><li>
Works collaboratively with Public Awareness grantee to create information campaigns using online tools (e.g., Constant Contact, Survey Monkey, &amp; video programs)</li><li>
Uses social media marketing analytic tools to monitor performance of the different platforms</li><li>
Develops, plans, &amp; implements campaigns as agreed upon by Council staff (e.g., new membership campaigns, Five-Year State Plan activities, public input surveys, specific issue campaigns, press releases, etc.)</li><li>
Collaborates with Public Awareness grantee to optimize public outreach by use of PR software &amp; other media</li><li>
Trains, provides technical assistance, &amp; oversees staff implementation of how to use the IOP Web Content Management system</li><li>
Post to social media platforms, digital marketing tools (email &amp; survey campaigns)</li><li>
Performs other related duties &amp; special projects as assigned</li></ul></div></div></div>
Why Work for the State of Ohio
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
<ul>
<li>Medical Coverage</li>
<li>Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period</li>
<li>Paid time off, including vacation, personal, sick leave and 11 paid holidays per year</li>
<li>Childbirth, Adoption, and Foster Care leave</li>
<li>Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)</li>
<li>Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) &amp; Optional Deferred Compensation (Ohio Deferred Compensation)</li>
</ul>
<ul><li>Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.</li></ul>
Qualifications
36 months' training or 36 months' experience in electronic graphic design AND 12 months' experience with hyper-text markup language for website/web page design &amp;/or development. 
OR 
Completion of associate core program in graphic visual communication technology or multimedia production technology AND 36 months' training or 36 months' experience in website/web page creation, design &amp;/or development. 
OR 
Completion of undergraduate core program in visual communications with emphasis on graphic design/industrial design &amp;/or fine arts AND 24 months' training or 24 months' experience in website/web page creation, design &amp;./or development. 
OR 
Equivalent of Minimum Class Qualifications For Employment noted above. 
 
Job Skills: Graphic Arts, Communications, Data Visualization, Digital Marketing, Visual Design, Web Design, Adaptability, Attention to Detail, Creativity
Supplemental Information
Hourly wage will be paid at step 1, unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC.
The final candidate selected for the position will be required to undergo a criminal background check. Rule 5123-2-02, &ldquo;Background Investigations for Employment,&rdquo; outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities. 
 
All answers to the supplemental questions must be supported by the work experience/education provided on your civil service application. 
To request a reasonable accommodation due to disability, please contact Terry Penn at
EEO-DiversityAffairs@dodd.ohio.gov
ADA Statement
Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Drug-Free Workplace
The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.</div></div>

Part-Time Electronic Design Specialist - Developmental Disability Council (PN 20085734)

<div><div>Sickle Cell Specialist, Sickle Cell Disease (DMV) 
Who we are:
At Agios, we are fueled by connections to transform rare diseases. We foster an inclusive, collaborative culture &ndash; one that sparks bold thinking and strengthens our connections with each other and with the rare disease communities we serve. We embrace diverse backgrounds with respect, active listening, and a commitment to inclusion &ndash; because our differences shape how we hire, collaborate, and innovate. Our team&rsquo;s proven track record of executional excellence, combined with our depth of expertise and dedication, enables us to develop innovative medicines that reflect the priorities of rare disease communities. Our commitment is more than scientific &ndash; it&rsquo;s deeply personal, grounded in the meaningful connections we have built. To learn more, visit www.agios.com and follow Agios on LinkedIn and X. 
The impact you will make:
We are seeking individuals with a demonstrated track record of success in launching rare diseases medicines and who are motivated by building durable markets in complex, underserved therapeutic areas.
The Sickle Cell Specialist should possess an entrepreneurial &ldquo;start-up&rdquo; mentality and values consistent with the patient and science focused Agios culture.
They will be energized by the opportunity to earn trust, advance disease education, and prepare the ecosystem for long-term impact which will lay the foundation for the success of Mitapivat and Agios&rsquo; pipeline of transformative rare genetic disease treatments.
The Sickle Cell Specialist (SCS) will report to a Regional Business Director and will be responsible for raising awareness of Sickle Cell Disease (SCD) and the need for disease education in SCD and the treatment of hemolytic anemia. The SCS will have territory level goals focused on identifying appropriate patients, advancing disease education, and supporting treatment readiness in anticipation of a potential future approval. Additionally, the SCS will be responsible for raising awareness across their respective geographies in anticipation of the initial US approval of Mitapivat for Sickle Cell Disease. 
Territory to include these major markets: Baltimore, Washington DC, and Fairfax.
This is a field-based role requiring consistent in-person engagement across priority accounts within the territory. 
What you will do:<ul><li>
As a Sickle Cell Specialist, you are the territory business owner, responsible for developing and executing a long-term market building strategy across your geography</li><li>
Lead consistent, multi-touch disease education engagements to advance understanding of SCD pathophysiology, disease burden, and unmet need</li><li>
Develop an integrated plan for your geography reflecting deep analysis, clear prioritization, and disciplined execution</li><li>
Work with all field teams and marketing to ensure alignment on objectives, strategies, and communication</li><li>
Develop credible, trust-based relationships with key customers and continue to build knowledge of the sickle cell marketplace</li><li>
Collaborate with Regional Medical Affairs and Market Access colleagues to ensure seamless coordination and timely patient support</li><li>
Advance appropriate patients toward treatment readiness while continuously assessing performance metrics and adapting strategies</li><li>
Develop strong internal and external relationships to enable appropriate, compliant business partnerships</li><li>
Ensure appropriate and compliant utilization of approved corporate, promotional and other resources to facilitate customer engagements</li><li>
Represent Agios positively and professionally at company meetings and conferences, ensuring your activities are compliant with laws, regulations, policies and guidelines</li><li>
Achieve or exceed sales forecasts and targets, within budget</li><li>
Lead ad-hoc initiatives to contribute to the business as requested</li></ul> 
What Success Looks Like in this role:<ul><li>
Priority HCPs view you as a trusted SCD partner, not just a product representative</li><li>
Disease education conversations deepen over time and lead to earlier identification of appropriate patients</li><li>
 Accounts are prepared to act efficiently once therapy is approved for appropriate patients</li><li>
 Cross‑functional partners rely on your insights to inform strategy and execution</li></ul> 
What you bring:<ul><li>
Bachelor&rsquo;s degree required, Scientific degree a plus</li><li>
Proven track record of success in Rare Disease sales; minimum 5 years&rsquo; experience in rare disease.</li><li>
Sickle Cell/Hematology/Oncology sales experience preferred</li><li>
Experience in building disease awareness and launching first in class therapies</li><li>
Demonstrated business acumen with account management skills, data analysis and understanding, and competitive selling</li><li>
Demonstrated ability to translate complex clinical and scientific concepts into credible, compliant dialogue</li><li>
Demonstrated cross functional collaboration with internal stakeholders including marketing, medical affairs, market access, patient services, and sales operations</li><li>
Demonstrated knowledge of the payer and clinical landscape, especially in specialty &amp; rare diseases</li><li>
Results-oriented with ability to thrive in a fast-paced, entrepreneurial environment</li><li>
Ability to navigate ambiguity and drive results</li><li>
Strong, resourceful, self-starter with an innovative mindset and ability to develop and execute new business solutions</li><li>
Extraordinary commitment to customer experience and standards of excellence</li><li>
Willingness to travel extensively across large geographies</li><li>
Established relationships with Hematology/Oncology HCPs within designated geography strongly preferred</li><li>
Prior experience launching rare disease products strongly preferred</li><li>
Experience leading regional and/or national initiatives strongly preferred</li><li>
Experience working in diseases with access challenges, health equity considerations, or historically underserved patient populations is strongly preferred</li></ul> 
Travel Requirements:
Both virtual or in-person meetings are facilitated as needed and appropriate. Travel requirement will be an average of 50-60% within the territory focusing on the major market areas of Baltimore, Washington DC and Fairfax. 
Concerned that you don&rsquo;t check off every box in the requirements listed above? Please apply anyway! At Agios, we value each other&rsquo;s differences and recognize that teams thrive when everyone brings their unique experiences to the table. We are dedicated to building an inclusive, diverse, equitable, and accessible environment where all employees can bring their whole selves to work. If you&rsquo;re excited about this role but your previous experience doesn&rsquo;t align perfectly with the job description, we still encourage you to apply. You may be just the right candidate for this role or another opening! 
Work Location:
Location Specific &ndash; Field/Remote: This is a remote based field position. Employees in field roles must reside within their designated territory. Consistent in-person presence with priority accounts is expected. Travel may be required commensurate to the above job description and/or to attend team meetings and other company events. 
What we will give you:<ul><li>
Deliberate Development. Your professional growth as one of our top priorities.</li><li>
Flexibility. We&rsquo;re all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you&rsquo;re at your best, we&rsquo;re at our best.</li><li>
Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team. For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website.</li><li>
Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance.<ul><li>
The current base salary range for this position is expected to be between $152,440 and $228,660 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators</li></ul></li><li>
Incentive design that recognizes both foundational market building and long-term value creation.</li><li>
Psychological safety. We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries.</li><li>
Commitment to diversity. We strive to foster a welcoming workplace where everyone can thrive. We&rsquo;re continuously looking to improve the inclusivity of our workforce.</li><li>
Commitment to community. We&rsquo;re an active participant in the communities that surround us &ndash; the communities where we live, and the community of people and their loved ones in need of better treatment options for conditions that are often overlooked.</li></ul> 
Interested in learning more about what makes our culture unique? Visit the Inside Agios section of our website.</div></div>

Sickle Cell Specialist, Sickle Cell Disease (DMV)

Sedgwick

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;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&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
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
<ul><li>Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to the team lead to deny claims based on the disability plan.
</li><li>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.
</li><li>Oversees additional facets of complex claims, including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines.
</li><li>Utilizes the appropriate clinical resources in case assessment (i.e., duration guidelines, in-house clinicians), as needed.
</li><li>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.
</li><li>Informs claimants of documentation required to process claims, required time frames, payment information, and claims status by phone, written correspondence, and/or claims system.
</li><li>Communicates with the claimants&rsquo; providers to set expectations regarding return to work.
</li><li>Medically manages complex disability claims, ensuring compliance with duration control guidelines and plan provisions.
</li><li>Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence, and/or claims system.
</li><li>Coordinates investigative efforts, ensuring appropriateness; provides thorough review of contested claims.
</li><li>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.
</li><li>Negotiates return to work with or without job accommodations via the claimant&rsquo;s physician and employer.
</li><li>Refers cases to the team lead and clinical case management for additional review when appropriate.
</li><li>Maintains professional client relationships and provides excellent customer service.
</li><li>Meets the organization&rsquo;s quality program(s) minimum requirements.
</li></ul>ADDITIONAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Performs other duties as assigned.
</li></ul>QUALIFICATIONS
Education &amp; Licensing
 
High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.
Experience
 
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred.
Skills &amp; Knowledge
<ul><li>Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
</li><li>Knowledge of state and federal FMLA regulations
</li><li>Working knowledge of medical terminology and duration management
</li><li>Excellent oral and written communication, including presentation skills
</li><li>Proficient computer skills including working knowledge of Microsoft Office
</li><li>Analytical, interpretive, and critical thinking skills
</li><li>Ability to manage ambiguity
</li><li>Strong organizational and multitasking skills
</li><li>Ability to work in a team environment
</li><li>Ability to meet or exceed performance competencies as required by program
</li><li>Effective decision-making and negotiation skills
</li><li>Ability to exercise judgement autonomously within established procedures
</li></ul>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
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 or 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 $ 19.74 - $26.00 USD hourly . 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.
<h2 class="jobSectionHeader">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.</h2></div>

Disability Representative Sr

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;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&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
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
<ul><li>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.
</li><li>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.
</li><li>Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines.
</li><li>Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed.
</li><li>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.
</li><li>Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system.
</li><li>Communicates with the claimants&rsquo; providers to set expectations regarding return to work.
</li><li>Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions.
</li><li>Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.
</li><li>Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.
</li><li>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.
</li><li>Negotiates return to work with or without job accommodations via the claimant&rsquo;s physician and employer.
</li><li>Refers cases to team lead and clinical case management for additional review when appropriate.
</li><li>Maintains professional client relationships and provides excellent customer service.
</li><li>Meets the organization&rsquo;s quality program(s) minimum requirements.
</li></ul>ADDITIONAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Performs other duties as assigned.
</li></ul>QUALIFICATIONS
Education &amp; Licensing
 
High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.
Experience
 
Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred.
Skills &amp; Knowledge
<ul><li>Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
</li><li>Knowledge of state and federal FMLA regulations
</li><li>Working knowledge of medical terminology and duration management
</li><li>Excellent oral and written communication, including presentation skills
</li><li>Proficient computer skills including working knowledge of Microsoft Office
</li><li>Analytical, interpretive, and critical thinking skills
</li><li>Ability to manage ambiguity
</li><li>Strong organizational and multitasking skills
</li><li>Ability to work in a team environment
</li><li>Ability to meet or exceed performance competencies as required by program
</li><li>Effective decision-making and negotiation skills
</li><li>Ability to exercise judgement autonomously within established procedures
</li></ul>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
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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">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.</h2></div>

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Disability Representative Sr

Disability Representative Sr

Disability Representative Sr