Case Coordinator

Sedgwick•Telecommuter OH, OH

5d•$17 - $19•Hybrid

About The Position

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.

Requirements

High school diploma or GED required
Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required
Clerical or customer service experience or equivalent combination of education and experience preferred

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