Description

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

Case Coordinator

Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?

• A stable and consistent work environment in an office and/or virtual setting
• 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 package to take care of your mental, physical, financial and professional needs

PRIMARY PURPOSE OF THE ROLE: To gather claim data and manage low to mid-level workers compensation claims to full duty Return to work; facilitate appropriate treatment services efficiently, within required Ohio BWC Guidelines for compliance, company standards, industry best practices and/or client specific requirements to promote best outcomes.

ARE YOU AN IDEAL CANDIDATE? 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.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE:

• 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

QUALIFICATIONS

• Education & Licensing: High school diploma or GED required
• Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required
• Experience: Clerical or customer service experience or equivalent combination of education and experience preferred

TAKING CARE OF YOU

• Entry-level colleagues are offered a world class training program with a comprehensive curriculum
• An assigned mentor and manager that will support and guide you on your career journey
• Career development and promotional growth opportunities
• A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more

Work environment requirements for entry-level opportunities include -
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $17.00 - 19.00/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.