Accommodations Coordinator

Sedgwick•Irving, TX

5d•Hybrid

About The Position

Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Irving, TX : 2201 W. Royal Lane Suite 125 Irving, TX 75063 Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Dublin, OH : 5500 Glendon Court Dublin OH 43016 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 PRIMARY PURPOSE : To process claims and determine accommodation options following written guidelines and procedures pursuant to ADA, state and/or client requirements; to make timely referrals for appropriate disability and federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims.

Requirements

High school diploma or GED required.
Two (2) years of related experience or equivalent combination of education and experience required.
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Good negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Nice To Haves

One (1) year of benefits or claims management experience preferred.

Responsibilities

Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and/or claims system.
Reviews medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition.
Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements.
Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and/or client-specific process provisions.
Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews where applicable.
Conducts initial employee interview per process guidelines.
Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists).
Refers cases as appropriate to team lead.
Maintains professional client relationships.
Performs other duties as assigned.
Supports the organization's quality program(s).