Case Management Associate

Job not on LinkedIn

🔥 0 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

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

• Access and assign workers compensation, disability, and liability cases according to current policies, procedures, and state laws • Access and assign cases for medical case management, utilization review, and clinical consultation • Provide accurate information to callers based on customer requests • Triage telephone calls between utilization review, clinical consultation, and telephonic case managers • Enter new claims data accurately into the claims management system • Maintain data integrity • Support clinical staff with components of the case management and utilization review process • Schedule diagnostic tests and physician appointments as assigned • Direct injured workers, employers, and claims examiners into the PPO network for treatment • Gather statistics for record keeping and provide required reports • Confirm receipt of fax forms and regulatory filings • Distribute, fax, mail, and copy incoming and outgoing correspondence

🎯 Requirements

• One year of administrative experience required • Customer service experience in a medical field preferred • Workers’ compensation, disability, and/or liability claims processing experience preferred • Associate’s degree or two years of college preferred • 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 • Ability to meet deadlines • Computer keyboarding ability • Hearing, vision, and talking abilities

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Opportunity to work in an agile environment • Career development and promotional growth opportunities • Medical, dental, and vision benefits on day one • 401(k) on day one • Diverse and comprehensive benefits offering • Reasonable accommodations considered when applicable and appropriate