Disability Clinical Specialist
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Job Description
Join Sedgwick as a Disability Clinical Specialist and perform clinical evaluations on disability claims. This full-time telecommute role requires a licensed clinical professional to review medical documentation and guide claims decisions.
What You'll Do
- Perform clinical reviews of referred medical claims based on client requirements and complexity
- Review medical documentation and apply clinical knowledge to substantiate disability claims
- Communicate professionally with employees and providers regarding clinical status and work capability
- Provide follow-up recommendations for ongoing medical management of claims
- Act as clinical resource to claims examiners on medical management guidance
Requirements
- Current RN, LVN, LPN, CRC, COHN, CVE, LPC, and/or LCSW license required
- Four years related experience in direct medical/psychological setting or insurance claims
- Knowledge of medical practices across orthopedics, mental health, surgery, oncology, and rehabilitation
- Excellent oral and written communication skills with strong analytical and critical thinking abilities
- Proficient in Microsoft Office and able to manage multiple priorities simultaneously
Benefits
- Work-life balance with telecommute flexibility across 20+ states
- Recognized as one of America's Greatest Workplaces by Newsweek and Great Place to Work
- Opportunity to grow your career with 33,000 colleagues at a global risk administration leader
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
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What Most Job Listings Don’t Tell You
General overview for this role type — specific duties and requirements vary by employer.
Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.
Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the Houston area.
For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.
Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.
Houston Area Salary Data
According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of $11.27/hr ($23,442/yr). The typical range is $10.92 – $13.35/hr (25th–75th percentile).
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.
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