Utilization Review Coordinator
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 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 provide excellent customer service and internal support to an assigned team. 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
Nice To Haves
- Clerical or customer service experience or equivalent combination of education and experience preferred
Responsibilities
- Accesses, triages and assigns cases for utilization review (UR).
- Responds to telephone inquiries proving accurate information and triage as necessary.
- Enters demographics and UR information into claims or clinical management system; maintains data integrity.
- Obtains all necessary information required for UR processing from internal and external sources per policies and procedures.
- Distributes incoming and outgoing correspondence, faxes and mail; uploads review documents into paperless system as necessary.
- Supports other units as needed.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- [IF APPLICABLE] Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
- medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
