Remote Accommodations Clinical Specialist- Bilingual French, Hindi, Bengali or more

Lensa; Honolulu (HI); Remote; USD 63,000 - 65,000; Full time

Job summary

A leading career site is seeking a Remote Accommodations Clinical Specialist to perform clinical evaluations on claims and facilitate employee return-to-work processes. Candidates should have a Bachelor's degree, a CRC or RN license, and at least 4 years of experience in claims management. The role offers a salary of $63,000 - $65,000 annually, along with a comprehensive benefits package.

Qualifications

• Bachelor's degree preferred; current CRC or RN license required.
• At least 4 years of related experience, including return-to-work or claims management.

Responsibilities

• Evaluate complex claims for work restrictions and accommodations.
• Review medical claims to ensure completeness and accuracy.
• Communicate with employees and providers regarding medical status and work capacity.

Skills

Knowledge of return-to-work procedures and claims management

Medical knowledge across multiple healthcare areas

Excellent communication

Organizational skills

Analytical skills

Proficiency in Microsoft Office

Education

Bachelor's degree preferred

Current CRC or RN license required

Job description

Remote Accommodations Clinical Specialist- Bilingual French, Hindi, Bengali or more

Lensa, a leading career site, is seeking bilingual professionals for Sedgwick, a recognized leader in risk and claims management. Join a company awarded as one of America’s Greatest Workplaces and a Great Place to Work.

We are looking for candidates who are bilingual in:

• French
• Dutch
• Hindi
• Bengali
• German
• Mandarin
• Portuguese

Work Hours (must be able to work within):

• Monday - Friday, 8:00 am to 4:00 pm CST
• 11:00 am to 7:00 pm CST
• 5:00 pm to 1:00 am CST
• 11:00 pm to 7:00 am CST
• 1:00 am to 9:00 am CST

Candidates must reside within the United States.

Primary Purpose

Perform clinical evaluations on claims requiring additional review, consult with providers and employees, and facilitate employee return-to-work processes within disability and accommodation guidelines.

Responsibilities

• Evaluate complex claims for work restrictions and accommodations.
• Review medical claims to ensure completeness and accuracy.
• Communicate with employees and providers regarding medical status and work capacity.
• Provide recommendations for ongoing medical management.
• Support claims examiners with medical insights and claim decisions.

Qualifications

Education & Licensing: Bachelor's degree preferred; current CRC or RN license required; ongoing CEUs necessary to maintain licenses.

Experience: At least 4 years of related experience, including return-to-work or claims management.

Skills & Knowledge

• Knowledge of return-to-work procedures and claims management.
• Medical knowledge across multiple healthcare areas.
• Excellent communication, organizational, and analytical skills.
• Proficiency in Microsoft Office.

Work Environment

Includes mental, physical, and auditory/visual considerations, with accommodations as needed.

The role offers a salary range of $63,000 - $65,000 annually, with a comprehensive benefits package. Sedgwick is an Equal Opportunity Employer committed to diversity and inclusion.