return to work Representative

Sedgwick•Irving, TX

4d•Hybrid

About The Position

The Return to Work Representative negotiates, facilitates, and monitors successful return-to-work outcomes for claimants within appropriate disability-duration guidelines. The role also assists case management staff with client competency decisions for individual positions. The representative determines medically supported work restrictions, coordinates return-to-work and accommodation efforts among clients, treatment providers, and claimants, and completes required documentation and reporting. The position gathers employer information about jobs and evaluates their physical demands, qualifications, and essential functions, while recommending adaptive equipment when needed. It maintains contact with clients and case participants after placement and works with colleagues to support transitions from medical case management into job placement. The position uses a hybrid work arrangement with onsite collaboration. Candidates must live near one of Sedgwick’s centers of excellence in Irving, Texas; Indianapolis, Indiana; or Orlando, Florida. Travel may be required. Sedgwick is an equal opportunity employer and a drug-free workplace, and encourages candidates to apply even if their experience does not align perfectly with every qualification.

Requirements

High school diploma or GED required.
Three years of related experience, including one year of return-to-work or job accommodation experience; or three years of claims management experience; or an equivalent combination of education and experience.
Working knowledge of return-to-work or job accommodation procedures.
Technical knowledge of claims management procedures.
Excellent oral and written communication skills, including presentation skills.
Computer literacy, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Excellent interpersonal skills.
Excellent negotiation skills.
Ability to work in a team environment.
Ability to meet or exceed performance competencies.

Nice To Haves

Bachelor’s degree from an accredited college or university preferred.

Responsibilities

Determine objective, quantifiable, medically supported work restrictions for assigned claims.
Facilitate return-to-work and accommodation efforts through negotiation with clients, treatment providers, and claimants.
Complete accommodation- and return-to-work-related jurisdictional or client-directed documentation, notifications, and reports, and document client contact in claim notes according to Sedgwick CMS standards.
Ensure written communications adhere to medical and legal regulations and accreditation standards.
Contact employers to gather information about employment areas, including required training or education, physical demands, wages and benefits, and availability.
Determine the physical tolerances, vocational skills, and essential job functions required for specific employment positions as requested by referral sources or employers.
Recommend adaptive equipment as needed.
Maintain regular post-placement client contact according to program guidelines, contact involved individuals about case progress, and suggest changes to plans as needed.
Work with team members to support a smooth transition from medical case management into job placement.
Perform other tasks related to accommodation and return-to-work evaluation and work adjustment, and other duties as assigned.