Sedgwick · 1 week ago
LTD Case Specialist (Hourly)
Los Angeles, CA
Full-time
Onsite
Mid Level
$26.55/hr - $31/hr
4+ years expSedgwick is a leading company recognized for its workplace culture and commitment to employee growth. They are seeking an LTD Case Specialist to analyze claims, determine benefits due, and ensure compliance with plan provisions while managing settlements and payments.
BankingInsuranceRisk Management
Responsibilities
Analyzes assigned claims and determines benefits due
Informs claimants of documentation required to process their claim and timeframes
Manages claim to ensure compliance with plan provisions
Provides appropriate documentation to LTD Manager for reporting purposes
Determines need for outside vendors, surveillance and/or independent medical evaluations as required and seeks advice from management, as necessary
Refers cases to LTD Supervisor, LTD Manager, or Project Manager
Negotiates settlement of appropriate claims within designated authority level
Makes claim payments and revisions to benefit amounts
Communicates status on decisions to client, claimant and supervisor
Calculates and collects overpayments
Performs other duties as assigned
Supports the organization's quality program(s)
Qualification
Required
Bachelor's degree from an accredited college or university preferred
Four (4) years of medical disability experience or equivalent combination of education and experience required
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Benefits
Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
Company data provided by crunchbase