Sedgwick is a company that focuses on providing meaningful support for individuals facing unexpected challenges. They are seeking a Case Coordinator to manage low to mid-level workers compensation claims and facilitate appropriate treatment services efficiently while promoting best outcomes for clients.
Responsibilities
- Obtains expected elements for subsequent EDI to the Bureau of Workers Compensation (BWC)
- Manages medical-only and low- to mid-level lost-time workers compensation claims under close supervision
- Processes workers compensation claims reviewing receipt of compensation; Treatment plans; facilitating services; collaborating with all claim parties with updates and changes
- Verifies return to work documentation through telephonic and written communications and records return to work dates appropriately in system(s)
- Manages claims in close collaboration with Claims Management Team
- Supports other claims management staff with larger or more complex claims as necessary
- Makes referral for case management and/or utilization management when work status changes due to functional limitations/medical instability
- Documents communications and claims management appropriately in system(s)
- Responds to all inquiries within one (1) business day
- Maintains knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures
- Maintains professional client relationships
- Meets and maintains productivity and quality expectations
Skills
- High school diploma or GED required
- Strong oral and written communication skills required
- Computer literate – including Microsoft Office required
- Organizational skills required
- Clerical or customer service experience or equivalent combination of education and experience preferred
Benefits
- A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs
- A training program to learn how to help employees and customers from some of the world’s most reputable brands
- An assigned mentor and manager who will guide you on your career journey
- Career development and promotional growth opportunities through increasing responsibilities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more
- Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits
Company Overview
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. It was founded in 1969, and is headquartered in Memphis, Tennessee, USA, with a workforce of 10001+ employees. Its website is http://www.sedgwick.com.