Case Coordinator

Sedgwick is a company that focuses on providing meaningful support for individuals facing unexpected challenges. They are seeking a Case Coordinator to manage low to mid-level workers compensation claims and facilitate appropriate treatment services efficiently while promoting best outcomes for clients.

Responsibilities

• Obtains expected elements for subsequent EDI to the Bureau of Workers Compensation (BWC)
• Manages medical-only and low- to mid-level lost-time workers compensation claims under close supervision
• Processes workers compensation claims reviewing receipt of compensation; Treatment plans; facilitating services; collaborating with all claim parties with updates and changes
• Verifies return to work documentation through telephonic and written communications and records return to work dates appropriately in system(s)
• Manages claims in close collaboration with Claims Management Team
• Supports other claims management staff with larger or more complex claims as necessary
• Makes referral for case management and/or utilization management when work status changes due to functional limitations/medical instability
• Documents communications and claims management appropriately in system(s)
• Responds to all inquiries within one (1) business day
• Maintains knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures
• Maintains professional client relationships
• Meets and maintains productivity and quality expectations

Skills

• High school diploma or GED required
• Strong oral and written communication skills required
• Computer literate – including Microsoft Office required
• Organizational skills required
• Clerical or customer service experience or equivalent combination of education and experience preferred

Benefits

• A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs
• 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 offering including medical, dental vision, 401K, PTO and more
• Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

Company Overview