Case Management Associate

🔥 3 hours ago

🇺🇸 United States – Remote

💵 $17 - $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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 workers compensation laws • Increase operational efficiency by providing general customer support and supporting medical staff in a team environment • Access and assign cases for medical case management, utilization review, and clinical consultation • Provide accurate information to callers and triage telephone calls among utilization review, clinical consultation, and telephonic case managers • Enter new claims data accurately into the claims management system and maintain data integrity • Support clinical staff with components of the case management and utilization review process • Schedule diagnostic tests and physician appointments as assigned • Provide channeling services by directing injured workers, employers, and claims examiners into the PPO network for treatment • Gather statistics and provide required reports • Confirm receipt of regulatory fax forms and 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 • 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 • 401K on day one • PTO • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Reasonable accommodations • Flexible and autonomous work in location and career path