Return to Work Representative

Sedgwick•West Hills, CA

About The Position

The Return to Work Representative negotiates, facilitates, and monitors successful returns to work 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 with clients, treatment providers, and claimants, and completes required documentation and reporting. The role gathers information about employment positions, including their physical demands and essential functions, recommends adaptive equipment when needed, and monitors progress after placement. The representative works closely with team members to support transitions from medical case management into job placement and performs related accommodation and work-adjustment tasks.

Requirements

High school diploma or GED.
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 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.
Document client contact in claim notes in accordance with Sedgwick CMS standards.
Ensure written communications comply with medical and legal regulations and accreditation standards.
Contact employers to obtain information about employment areas, including required training or education, physical demands, wages and benefits, and availability.
Determine physical tolerances, vocational skills, and essential job functions for specific employment positions as requested by referral sources or employers.
Recommend adaptive equipment as needed.
Maintain client contact following 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 into job placement.
Perform other tasks related to accommodation and return-to-work evaluation and work adjustment.
Perform other duties as assigned.