Case Management Associate
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 Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Requirements
- One (1) year of administrative experience required.
- Customer service experience in a medical field preferred.
- Worker's compensation, disability and/or liability claims processing experience preferred.
Nice To Haves
- Associate's degree or two (2) years of college preferred.
Responsibilities
- Accesses and assigns cases for medical case management, utilization review and clinical consultation.
- Provides accurate information to callers based on customer requests; triages telephone calls between utilization review, clinical consultation and telephonic case managers.
- Enters new claims data into the claims management system accurately; maintains data integrity.
- Supports clinical staff through the completion of components of the case management and utilization review process.
- Schedules diagnostic tests and physician appointments as assigned.
- Provides channeling services for injured workers, employers and claims examiners by directing into PPO network for treatment.
- Gathers statistics for record keeping and provides reports as required.
- Ensures by confirmation that fax forms and filings required by regulatory agencies have been received; distributes, faxes, mails and copies incoming and outgoing correspondence.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
