Advocacy Coordination Team Specialist

Sedgwick
Dublin, IA
Job Description
Role Overview

As an Advocacy Coordination Team Specialist, you will actively research, resolve, and administer escalated inquiries for all lines of business, including complex paid and unpaid state, military, and company-specific leaves, accommodations, disability, and statutory claims. You will provide excellent customer service, displaying care and empathy to callers regarding claims and execute technical and jurisdictional requirements for accurate claims processing, benefit review, and interpretation of regulations.

What You Will Do

Your main day-to-day responsibilities will include making independent claim determinations, analyzing and authorizing leave, accommodation, disability, and statutory claims, entering and adjusting payments, evaluating file interface, communicating with claimants and clients, facilitating claim resolution, ensuring claims files are coded correctly, and reviewing complex medical information.

Why It Might Be a Fit

To be successful in this role, you will need to possess strong analytical, interpretive, and critical thinking skills, excellent interpersonal communication skills, and the ability to exercise judgment autonomously within established procedures. You will also need to be able to work in a team environment, manage ambiguity, and meet or exceed performance competencies.

Requirements

  • High school diploma or GED required
  • Three (3) years of related experience or equivalent combination of experience and education
  • Knowledge of ERISA regulations, state and federal FMLA, ADAAA, Social Security application procedures, required offsets and deductions, and disability procedures
  • Working knowledge of medical terminology and duration management
  • Proficient computer skills including working knowledge of Microsoft Office
  • Exemplary call handling and de-escalation skills
  • Excellent interpersonal communication skills, oral and written
  • Analytical, interpretive, and critical thinking skills
  • Effective decision-making
  • Ability to manage ambiguity
  • Strong organizational and multitasking skills
  • Ability to exercise judgement autonomously within established procedures
  • Ability to work in a team environment

Benefits

  • Work-life balance
  • Caring culture
  • Opportunities for growth and development
  • Competitive salary and benefits
  • Paid holidays
  • Equity in the company
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