Case Management Associate - Flexible Growth in WC

Sedgwick Claims Management Services Ltd; Georgia; Hybrid; USD 23,000 - 28,000; Full time

Benefits offered by this job

Flexible work schedule

Referral program

Agile environment

Career development

Benefits package

Job summary

Sedgwick Claims Management Services Ltd is seeking a Case Management Associate to support medical case management, utilization review and clinical coordination in a fast-paced team environment.

You will access and assign workers' compensation, disability and liability cases, provide frontline customer support, and schedule tests and appointments while maintaining data integrity and compliance with state laws.

Qualifications

• Associate's degree or two years of college preferred.
• One year of administrative experience required.
• Customer service experience in a medical field preferred.
• Worker's compensation, disability and/or liability claims processing experience preferred.

Responsibilities

• Accesses and assigns cases for medical case management, utilization review and clinical consultation.
• Triages telephone calls between utilization review, clinical consultation and telephonic case managers.
• Enters new claims data into the claims management system accurately; maintains data integrity.
• Supports clinical staff through the completion of components of the case management and utilization review process.
• Schedules diagnostic tests and physician appointments as assigned.
• Gathers statistics for record keeping and provides reports as required.
• Distributes, faxes, mails and copies incoming and outgoing correspondence.

Skills

Administrative experience

Customer service

Medical field experience

Education

Associate degree

Job description

Sedgwick Claims Management Services Ltd is seeking a Case Management Associate to support medical case management, utilization review and clinical coordination in a fast-paced team environment.

You will access and assign workers' compensation, disability and liability cases, provide frontline customer support, and schedule tests and appointments while maintaining data integrity and compliance with state laws.