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Sedgwick Claims Management Services Ltd

Disability Clinical Nurse Specialist (RN) – Claims Evaluation

town of florida, NY

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Job description

Sedgwick is seeking a Clinical Specialist with an active RN license to perform standard clinical evaluations on disability-related claims. You will review medical documentation, discuss clinical status with employees and providers, and guide decisions on medical necessity and work absence.

The role requires strong communication, analytical skills, and the ability to work with claims examiners to substantiate disability and inform management strategies.

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