Case Coordinator

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $17 - $19 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Gather claim data and manage low to mid-level workers compensation claims to full duty Return to work • Facilitate appropriate treatment services efficiently, within required Ohio BWC Guidelines for compliance, company standards, industry best practices and/or client specific requirements • Obtain expected elements for subsequent EDI to the Bureau of Workers Compensation (BWC) • Manage medical-only and low- to mid-level lost-time workers compensation claims under close supervision • Process workers compensation claims reviewing receipt of compensation; Treatment plans; facilitating services; collaborating with all claim parties with updates and changes • Verify return to work documentation through telephonic and written communications and records return to work dates appropriately in system(s) • Manage claims in close collaboration with Claims Management Team • Support other claims management staff with larger or more complex claims as necessary • Make referral for case management and/or utilization management when work status changes due to functional limitations/medical instability • Document communications and claims management appropriately in system(s) • Respond to all inquiries within one (1) business day • Maintain knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures • Maintain professional client relationships • Meet and maintain productivity and quality expectations

🎯 Requirements

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

🏖️ Benefits

• A diverse and comprehensive benefits package including medical, dental, vision, 401K, PTO and more • World class training program with a comprehensive curriculum • Assigned mentor and manager to support and guide on career journey • Career development and promotional growth opportunities