Cedar Rapids, Iowa, United States · Hybrid
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, experi…
Skills: Case Management, Claim Determination, Medical Documentation Analysis, ERISA Regulations, FMLA Regulations
Cedar Rapids, Iowa, United States · On-site
Additional Considerations (if any): Must be 18+ - At Hy-Vee our people are our strength. We promise “a helpful smile in every aisle” and those smiles can only come from a workforce that is fully engaged and committed to …
Skills: Customer Service, Prescription Preparation, Insurance Claims Processing, Pharmacy Software, Patient Data Entry
Cedar Rapids, Iowa, United States · On-site
Additional Considerations (if any): Professional License/Certification Required - At Hy-Vee our people are our strength. We promise “a helpful smile in every aisle” and those smiles can only come from a workforce that is…
Skills: Customer Service, Prescription Preparation, Insurance Billing, Pharmacy Software, Medication Dispensing
Cedar Rapids, Iowa, United States · On-site
Description Auxiant’s Mission Statement and Core Values Mission:An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results. Core Values: Independent Solutions. REAL Resul…
Skills: Application Processing, Customer Service, Microsoft Word, Microsoft Outlook, Microsoft Excel
Cedar Rapids, Iowa, United States · On-site
Overview Eligible for $10,000 Sign-on Bonus! $5/hr Evening Differential $7.50/hr Night/Weekend Differential The RN is responsible for the delivery of safe and reliable patient care, in coordination with the healthcare te…
Skills: Patient Assessment, Nursing Diagnosis, Care Planning, Medication Administration, Patient Education
Cedar Rapids, Iowa, United States · On-site
Benefits Information Equal Opportunity Employer This position pays $33.38/Hr when assigned as a Lead for hospital guard services. Overview Are you looking for a career you can feel good about? We hire only those that str…
Skills: Custody And Control, Supervision, Restraint Protocols, Report Writing, Security Guarding
Cedar Rapids, Iowa, United States · On-site
Regional Director of Operations The Regional Director of Operations provides leadership and oversight for multiple senior living communities, ensuring high-quality resident care, employee engagement, and strong financial…
Skills: Leadership, Communication, Organizational Skills, Staff Management, Training
Cedar Rapids, Iowa, United States · On-site
Overview Are you interested in being part of a high performing team and helping patients rebuild their lives after a life altering event or chronic illness? Then look no further, St. Luke’s Inpatient Rehabilitation unit …
Skills: Patient Care, Clinical Assessment, Medication Administration, Patient Education, Care Planning
Cedar Rapids, Iowa, United States · On-site
$102k–$169k/yr
NURSE PRACTITIONER - WOMEN'S HEALTH Cedar Rapids, IA $101,670.40-$168,729.60 Be a part of an organization that is dedicated to health equity for all. As a Federally Qualified Health Center, our mission at Eastern Iowa He…
Skills: Patient Assessment, Care Planning, Evidence-Based Practice, Diagnostic Tool Interpretation, Women's Health
Cedar Rapids, Iowa, United States · On-site
$38k–$44k/yr
Job DetailsJob Location: Med Quarter - Cedar Rapids, IA 52403Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $38,000.00 - $44,000.00 SalaryJob Shift: SwingJob Category: Nonprofit - Social ServicesMake…
Skills: Cognitive Flexibility, Communication, Conflict Resolution, Executive Functioning, Interpersonal Relationships
Cedar Rapids, Iowa, United States · On-site
$49k–$55k/yr
Job DetailsJob Location: Med Quarter - Cedar Rapids, IA 52403Position Type: Full TimeEducation Level: Graduate DegreeSalary Range: $48,500.00 - $55,000.00 SalaryJob Shift: AnyJob Category: Nonprofit - Social ServicesMake…
Skills: Clinical Conceptualization, Therapeutic Interventions, Case Management, Multidisciplinary Collaboration, Cultural Competency
Cedar Rapids, Iowa, United States · On-site
$49k–$55k/yr
Job DetailsJob Location: Med Quarter - Cedar Rapids, IA 52403Position Type: Full TimeEducation Level: Graduate DegreeSalary Range: $48,500.00 - $55,000.00 SalaryJob Shift: AnyMake a Difference Every Day — Become a …
Skills: Clinical Conceptualization, Therapeutic Interventions, Case Management, Multidisciplinary Collaboration, Cultural Competency
Cedar Rapids, Iowa, United States · On-site
$16/hr–$24/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Supervision, Customer Service, Merchandising, Inventory Management, Deductive Reasoning
Cedar Rapids, Iowa, United States · Remote Solely
We are hiring Healthcare Survey Agents to support our client. In this role, agents will conduct outbound calls to hospitals and healthcare clinics to complete brief surveys related to their after-hours and emergency resp…
Skills: Outbound Calling, Customer Service, Communication Skills, Attention To Detail, Data Documentation
Cedar Rapids, Iowa, United States · On-site
Additional Considerations (if any): Professional License/Certification Required - At Hy-Vee our people are our strength. We promise “a helpful smile in every aisle” and those smiles can only come from a workforce that is…
Skills: Customer Service, Prescription Preparation, Insurance Claims Processing, Pharmacy Software, Vaccine Administration
Cedar Rapids, Iowa, United States · On-site
$38k–$44k/yr
Job DetailsJob Location: Med Quarter - Cedar Rapids, IA 52403Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $38,000.00 - $44,000.00 SalaryJob Shift: SwingJob Category: Nonprofit - Social ServicesMake…
Skills: Cognitive Flexibility, Communication, Conflict Resolution, Executive Functioning, Interpersonal Relationships
Cedar Rapids, Iowa, United States · On-site
$14/hr–$15/hr
When you work at Cottage Grove Place, you have a front-row seat to the amazing life stories of the wisest people on earth. What’s more, you are part of an extraordinary company – one that’s investing in the future of sen…
Skills: Food Service, Hospitality, Sanitation Standards, Dishwashing, Senior Care
Cedar Rapids, Iowa, United States · On-site
$14/hr–$15/hr
When you work at Cottage Grove Place, you have a front-row seat to the amazing life stories of the wisest people on earth. What’s more, you are part of an extraordinary company – one that’s investing in the future of sen…
Skills: Food Service, Customer Service, Serving Etiquette, Sanitation Standards, Table Setting
Cedar Rapids, Iowa, United States · On-site
What We’re Looking For: A purpose-driven individual with a passion for helping others. Our Medical Assistants are at the heart of patient care, so we’re looking for someone with a blend of clinical expertise,…
Skills: Clinical Expertise, Patient Care, Medical Assisting, Procedure Assistance, Clinical Documentation
Cedar Rapids, Iowa, United States · On-site
Job Description: Care Manager – Registered Nurse Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an …
Skills: Care Management, Patient Assessment, Medication Reconciliation, Patient Education, Chronic Kidney Disease Management
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Manage disability claims by reviewing medical documentation to determine benefit eligibility and making timely payments. Coordinate return-to-work negotiations and manage referrals to outside vendors while maintaining professional client relationships.
Requires a high school diploma or GED and at least two years of related experience, including one year of customer service. Preferred candidates have experience in benefits or claims management and knowledge of ERISA and FMLA regulations.
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.
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 RepresentativeOur teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence Cedar Rapids, IA : 333 1st Street SE Ste.200 Cedar Rapids IA 52401
✨ What we offer:
A stable, consistent work environment—both in-office and virtual
A comprehensive training program to help you support employees and customers from some of the world’s most respected brands
A dedicated mentor and manager to guide you every step of your career journey
Career development and promotional opportunities as you take on new responsibilities
A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being
We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused
PRIMARY PURPOSE:
Provides disability case management and routine 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; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors.
We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.
Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan.
Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly.
Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system.
Communicates with the claimants’ providers to set expectations regarding return to work.
Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions.
Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.
Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.
Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
Negotiates return to work with or without job accommodations via the claimant’s physician and employer.
Refers cases as appropriate to team lead and clinical case management to assist with claim determination.
Meets the organization’s quality program(s) minimum requirements.
Maintains professional client relationships and provides excellent customer service.
Performs other duties as assigned.
Education & Licensing
High school diploma or GED required.
Experience
Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred.
Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures
Knowledge of state and federal FMLA regulations
Working knowledge of medical terminology and duration management
Excellent oral and written communication, including presentation skills
Proficient computer skills including working knowledge of Microsoft Office
Analytical, interpretive, and critical thinking skills
Strong organizational and multitasking skills
Ability to work in a team environment
Ability to meet or exceed performance competencies as required by program
Effective decision-making and negotiation skills
Ability to exercise judgement with limited supervision
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
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
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.
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Offices: 60 Fenchurch Street, London, England EC3M 4AD, GB · 5-6 Esplande Charles de Gaulle, Nanterre, FR
There are currently 357 open healthcare positions in Cedar Rapids, IA listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include unity point health, Four Oaks, Care Initiatives Hospice, Tanager, Hy-Vee, Inc., among others. Browse the listings above to see every active employer.
Yes — 17 of the 357 open healthcare positions offer remote or hybrid work (5 remote, 12 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
