ADA Accommodation Coordinator

Sedgwick Claims Management Services Ltd

Northern (KY)

Hybrid

USD 45,000 - 65,000

Full time

7 days ago
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Job summary

Sedgwick Claims Management Services Ltd. is seeking an ADA Accommodation Coordinator to process claims and determine accommodation options under ADA/state/client requirements.

You will refer for disability and federal/state leave eligibility reviews and ensure timely processing of claims. The role requires reviewing medical information, making decisions on ADA eligibility, and coordinating with clinicians and specialists.

Qualifications

  • High school diploma or GED required.
  • Two years of related experience or equivalent; one year of benefits or claims management preferred.

Responsibilities

  • Inform claimants of required documentation, time frames, and status by phone, mail, or claims system.
  • Review medical information to determine ADA eligibility per state/client requirements.
  • Make determinations to approve non-complex ADA claims or recommend denial based on criteria.
  • Determine accommodation options and refer for disability or leave eligibility reviews as applicable.
  • Conduct initial employee interview per process guidelines.
  • Utilize clinical and vocational resources for case assessment (duration guidelines, clinicians, ADA specialists).
  • Maintain professional client relationships.

Skills

Oral & written communication
MS Office / PC literacy
Analytical skills
Organizational skills
Interpersonal skills
Negotiation skills
Teamwork
Performance competencies

Education

High school diploma or GED

Tools

Microsoft Office

Job description

ADA Accommodation Coordinator**Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:** **Dubuque, IA** : 4141 Westmark Drive, Dubuque, IA 52002**Cedar Rapids, IA** : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401**Coralville, IA:** 3273 Ridgeway Drive Coralville IA 52241**Dublin, OH** : 5500 Glendon Court Dublin OH 43016**New Albany, OH** : 7795 Walton Parkway New Albany, OH 43054**Indianapolis, IN:** 8909 Purdue Road Suite 501 Indianapolis, IN 46268**Irving, TX**: 2201 W. Royal Lane Suite 125 Irving, TX 75063**Southfield, MI** : 300 Galleria Officentre Southfield MI 48034**Orlando, FL :** 12650 Ingenuity Dr Orlando FL 32826**PRIMARY PURPOSE****:** To process claims and determine accommodation options following written guidelines and procedures pursuant to ADA, state and/or client requirements; to make timely referrals for appropriate disability and federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims.**ESSENTIAL FUNCTIONS and RESPONSIBILITIES*** Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and/or claims system.* Reviews medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition.* Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements. Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and/or client-specific process provisions.* Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews where applicable.* Conducts initial employee interview per process guidelines.* Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists).* Refers cases as appropriate to team lead.* Maintains professional client relationships.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES*** Performs other duties as assigned.* Supports the organization's quality program(s).**QUALIFICATIONS****Education & Licensing**High school diploma or GED required.**Experience**Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of benefits or claims management experience preferred.**Skills & Knowledge*** Excellent oral and written communication skills* PC literate, including Microsoft Office products* Analytical and interpretive skills* Strong organizational skills* Excellent interpersonal skills* Good negotiation skills* Ability to work in a team environment* Ability to meet or exceed Performance Competencies**WORK ENVIRONMENT**When applicable and appropriate, consideration will be given to reasonable accommodations.**Mental****:** 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; and ability to meet deadlines**Physical****:** Computer keyboarding, travel as required**Auditory/Visual****:** Hearing, vision and talking**NOTE****:** Credit security clearance, confirmed via a background credit check, is required for this position.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
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