Disability Representative Sr
Sedgwick · Southfield, MI
About this role
Sedgwick is hiring a senior-level Medical Representative in the operations function based in Southfield, MI.
- Role
- Medical Representative
- Function
- operations
- Level
- senior
- Track
- Individual contributor
- Employment
- Full-time
- Location
- Southfield, MI
- Posted
- May 14, 2026
More roles at Sedgwick
Job description
from Sedgwick careersBy 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 Representative SrOur teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:
Southfield, MI : 300 Galleria Officentre Southfield MI 48034
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
- 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.