Case Management Specialist - Flexible Schedule & Growth

Sedgwick Claims Management Services Ltd; Northern (KY); Hybrid; USD 23,000 - 28,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development

401K on day one

Job summary

Sedgwick is seeking a Case Management Associate to access and assign workers' compensation, disability and liability cases, applying current policies to increase efficiency and provide strong customer support.

The role offers a flexible work schedule, agile environment, career growth opportunities, and a comprehensive benefits package including medical, dental, vision, 401K from day one.

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.
• Provides accurate information to callers based on customer requests; triages calls between units.
• Enters new claims data into the claims management system accurately; maintains data integrity.
• Supports clinical staff through completion of components of the case management and utilization review process.
• Schedules diagnostic tests and physician appointments as assigned.
• Provides channeling services for injured workers, employers and claims examiners by directing into PPO network for treatment.
• Gathers statistics for record keeping and provides reports as required.
• Ensures by confirmation that fax forms and filings required by regulatory agencies have been received; distributes, faxes, mails and copies incoming and outgoing correspondence.

Skills

Administrative experience

Medical customer service

Education

Associate degree or 2 years college

Job description

Sedgwick is seeking a Case Management Associate to access and assign workers' compensation, disability and liability cases, applying current policies to increase efficiency and provide strong customer support.

The role offers a flexible work schedule, agile environment, career growth opportunities, and a comprehensive benefits package including medical, dental, vision, 401K from day one.