Case Management Associate

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $18 - $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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 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 through components of case management and utilization review • Schedule diagnostic tests and physician appointments • Provide channeling services for injured workers, employers and claims examiners by directing them into the PPO network • Gather statistics and provide reports • Confirm receipt of fax forms and regulatory filings • Distribute, fax, mail and copy correspondence

🎯 Requirements

• Associate's degree or two (2) years of college preferred • One (1) year of administrative experience required • Customer service experience in a medical field preferred • Worker's compensation, disability and/or liability claims processing experience preferred • Knowledge of medical and insurance terms • Knowledge of ICD 9 and CPT coding systems • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills; detail-oriented • Good interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies

🏖️ Benefits

• Blended work environment • On-going learning and professional growth opportunities • Three medical plans to choose from • Two dental plans to choose from • Vision insurance • Tuition reimbursement eligibility • 401K plan matching 50% of contributions up to the first 6% saved • 4 weeks PTO in the first full year • Disability insurance • Life insurance • Employee assistance • Flexible spending or health savings account • Additional voluntary benefits