Utilization Review Coordinator

🔥 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.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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, triage and assign cases for utilization review (UR) • Respond to telephone inquiries, provide accurate information and triage as necessary • Enter demographics and UR information into claims or clinical management systems • Maintain data integrity • Obtain necessary information required for UR processing from internal and external sources according to policies and procedures • Distribute incoming and outgoing correspondence, faxes and mail • Upload review documents into the paperless system as necessary • Support other units as needed • Perform other duties as assigned • Support the organization's quality programs

🎯 Requirements

• High School diploma or GED required • Two (2) years of administrative experience or equivalent combination of experience and education required • Customer service in medical field preferred • Workers compensation, disability and/or liability claims processing experience preferred • Knowledge of medical and insurance terminology • Knowledge of ICD9 and CPT coding • 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

• Three medical plans to choose from • Two dental plans to choose from • Tuition reimbursement eligibility • 401K plan matching 50% of contributions up to the first 6% saved • 4 weeks PTO during the first full year • Vision insurance • Disability insurance • Life insurance • Employee assistance program • Flexible spending or health savings account • Other additional voluntary benefits