Return to Work Associate

at  Sedgwick

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Return to Work Associate
PRIMARY PURPOSE: To perform return-to-work assessment under general supervision; to coordinate return-to-work related activities including gathering medical information for accommodation evaluation; to resolve workers’ compensation cases; to provide customer support; and to support return-to-work/accommodation staff.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Performs initial evaluations assessment via telephone calls to physician and employer.
• Evaluates need for alternative return-to-work plan and coordinates return-to-work related activities.
• Supports return-to-work and/or job accommodation processes for return-to-work management.
• Supports return-to-work/job accommodation staff through the completion of components of the return-to-work management process.
• Provides return-to-work support for injured workers, physicians, employers and claims teams.
• Gathers return-to-work data from providers, nurses and return-to-work specialists for record keeping.
• Resolves workers’ compensation cases by applying current policies and procedures per state workers’ compensation laws and client program design.
• Enters data into the claims management system accurately.
• Adheres to quality assurance standards.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization’s quality program(s).

QUALIFICATIONS

Education & Licensing
High school diploma or GED required.
Experience
One (1) year claims management experience or equivalent combination of education and experience required. Return-to-work experience preferred.

Skills & Knowledge

• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($18.00 - $22.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Performs initial evaluations assessment via telephone calls to physician and employer.
• Evaluates need for alternative return-to-work plan and coordinates return-to-work related activities.
• Supports return-to-work and/or job accommodation processes for return-to-work management.
• Supports return-to-work/job accommodation staff through the completion of components of the return-to-work management process.
• Provides return-to-work support for injured workers, physicians, employers and claims teams.
• Gathers return-to-work data from providers, nurses and return-to-work specialists for record keeping.
• Resolves workers’ compensation cases by applying current policies and procedures per state workers’ compensation laws and client program design.
• Enters data into the claims management system accurately.
• Adheres to quality assurance standards

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization’s quality program(s)