return to work Representative

Sedgwick•Irving, TX

4d•Hybrid

About The Position

The Return to Work Representative negotiates, facilitates, and monitors claimants’ successful return to work within appropriate disability duration guidelines. The role also assists case management staff with client competence decisions for individual positions. The teams collaborate onsite and use a hybrid work arrangement; candidates must live near a center of excellence in Irving, Texas; Indianapolis, Indiana; or Orlando, Florida. The representative determines medically supported work restrictions, coordinates return-to-work and accommodation efforts with clients, treatment providers, and claimants, and completes related documentation and reporting. The role gathers employment and position information, assesses physical tolerances, vocational skills, and essential job functions, and recommends adaptive equipment when needed. It includes maintaining contact with clients and involved individuals after placement, monitoring progress, suggesting plan changes, and working with team members to transition cases from medical case management into job placement.

Requirements

High school diploma or GED.
Three years of related experience, including one year of return-to-work or job accommodation experience; alternatively, 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 and 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.

Responsibilities

Determine objective, quantifiable, medically supported work restrictions for assigned claims.
Facilitate return-to-work and accommodation efforts by negotiating with clients, treatment providers, and claimants.
Complete accommodation- and return-to-work-related jurisdictional or client-directed documentation, notifications, and reporting, and document client contact in claim notes according to Sedgwick CMS standards.
Follow medical and legal regulations and accreditation standards in written communications.
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 needed for specific positions, as requested by referral sources or employers.
Recommend adaptive equipment as needed.
Maintain regular contact with clients after placement according to program guidelines; contact involved individuals about case progress and suggest changes to plans as needed.
Work with team members to support the transition from medical case management to job placement.
Perform other tasks related to accommodation and return-to-work evaluation and work adjustment as needed.
Perform other duties as assigned.