Hiring: Advocacy Coordination Team Specialist Company: Sedgwick Location: Orlando, FL Job Posted Time: 2026-09-16 15:17:07 Employment Type: Hybrid About the job Experience: •Three (3) years of related experience or equivalent combination of experience and education required to include two (2) years of disability claims experience. Experience with SMART, SIR, GAIN, or other HR systems preferred. Experience with TAMS, Juris, viaOne express, and mySedgwick preferred for internal candidates. •Knowledge of ERISA regulations, state and federal FMLA, ADAAA, Social Security application procedures, required offsets and deductions, and disability procedures •Solid functional working knowledge of medical terminology and duration management •Proficient computer skills including working knowledge of Microsoft Office •Exemplary call handling and de-escalation skills Required Skills: •Makes independent claim determinations, based on the information received, to approve complex claims or make a recommendation to team lead to deny claims based on the requirements. •Analyzes and authorizes leave, accommodation, disability, and statutory claims and determines benefits due pursuant to client plans, and state and federal regulations. •Enters and adjusts payments and evaluates file interface to support payment research and resolution. •Communicates clearly and professionally with claimant and client on all aspects of the claims process including claim approval, decision authority level to move the call forward, and issue resolution by phone, written correspondence and/or claims system. •Facilitates claim resolution and handles escalated calls with claimant, human resources managers, treating physician’s office, client, or others with a goal of one-call resolution. •Ensures claims files are coded correctly and that adequate documentation is in the claim. •Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan and takes all necessary action to manage claims process to completion. •Informs claimants and client of documentation required to process claims, required timeframes, payment information and claims status. Qualifications: •High school diploma or GED required. Bachelor's degree from an accredited college or university preferred. Compensation: •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!