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.
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Reyes Holdings ProgramThis requisition is for Reyes Holdings Program for all roles:
Care Team Representative
- Provide service to callers regarding claims for multiple lines of business
- One (1) year of customer service experience
Leave of Absence Coordinator
- Analyze reported Family Medical Leave (FMLA) requests
- Two (2) years of admin/general office experience
Disability Representative
- Process claims and determine benefits due pursuant to a disability plan.
- Two (2) years of disability management and/or FMLA administration experience including one (1) year of admin/general office experience
Sr Disability Representative
- Provide disability case management and claim determinations
- Three (3) years of benefits or disability case/claim management experience
Benefit Liaison
- Coordinate activities of absence programs for specific client
- Six (6) years of absence management experience required
Absence Management Team Lead
- Supervise the operations of multiple teams of examiners and technical staff for disability claims for clients
- Six (6) years of claims experience or equivalent combination of education and experience required
PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes.
- Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations.
- Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client.
- Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and/or claims system.
- Maintains professional client relationships and provides excellent customer service.
- Meets the organization’s quality program(s) minimum requirements.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
QUALIFICATIONS
Education & Licensing
High school diploma or GED required. State certification or licensing in statutory leaves is beneficial.
Experience
One (1) year of administrative/general office experience or equivalent combination of education and experience required. FMLA administration experience preferred.
Skills & Knowledge
- Knowledge of state and federal FMLA regulations
- Excellent oral and written communication, including presentation skills
- Proficient computer skills including working knowledge of Microsoft Office
- Analytical and interpretive skills
- Strong organizational and multitasking skills
- Excellent interpersonal skills
- Ability to exercise judgement in accordance with well-defined policies and procedures
- Ability to work in a team environment
- Ability to meet or exceed performance competencies as required by program
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment 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.
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.Skills Required
- High school diploma or GED
- One (1) year of customer service experience (Care Team Representative)
- One (1) year of administrative/general office experience or equivalent (general qualification)
- Two (2) years of admin/general office experience (Leave of Absence Coordinator)
- Two (2) years of disability management and/or FMLA administration experience including one (1) year of admin/general office experience (Disability Representative)
- Three (3) years of benefits or disability case/claim management experience (Sr Disability Representative)
- Six (6) years of absence management experience (Benefit Liaison)
- Six (6) years of claims experience or equivalent combination of education and experience (Absence Management Team Lead)
- Knowledge of state and federal FMLA regulations
- Proficient computer skills, including Microsoft Office
- Excellent oral and written communication skills
- Analytical and interpretive skills; strong organization and multitasking
- Ability to exercise judgment per policies, work in a team, and meet performance competencies
- State certification or licensing in statutory leaves (beneficial)
Sedgwick Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Sedgwick and has not been reviewed or approved by Sedgwick.
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Leave & Time Off Breadth — Generous paid time off and paid holidays are emphasized, with PTO accruals increasing with tenure. Paid parental leave and caregiver support further expand time-off coverage.
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Healthcare Strength — Medical, dental and vision coverage is complemented by telemedicine and a personal health concierge. Wellbeing supports such as diabetes and weight-management programs, fertility services, and robust mental-health access (coaching, therapy, psychiatry) broaden care.
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Parental & Family Support — Paid parental leave and caregiver support are offered alongside family-forming resources. Fertility services and adoption assistance reinforce family-oriented benefits.
Sedgwick Insights
What We Do
From our modest beginnings as a regional claims administrator, Sedgwick has grown into a leading global provider of technology-enabled risk, benefits and integrated business solutions with 31,000+ colleagues, located across 80 countries. Through innovative product development, organic business development and strategic acquisitions, Sedgwick’s offerings continue to evolve beyond claims processing to meet the current and future needs of our clients. Our approach to delivering quality service in areas such as workers’ compensation, liability, property, disability and absence management goes far beyond just managing claims—we aim to simplify the process and reduce complexity, making it easy and effective for everyone involve.
Why Work With Us
We stay tuned into what our colleagues want and need and deliver a world-class colleague experience that demonstrates how much we value their unique contributions to our business. You’ll see and feel what it’s like to work for a company that’s committed to doing the right thing – for those we serve, for our planet and for each other.
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