ADA Accommodation Specialist - Hybrid Claims

Sedgwick Claims Management Services Ltd; Northern (KY); Hybrid; USD 45,000 - 65,000; Full time

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

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.