Remote Case Management Associate

Sedgwick; Cheyenne (WY); On-site; USD 23,000 - 28,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Openness to agile environment

Career development opportunities

Comprehensive benefits on day one

Job summary

Sedgwick is seeking a Case Management Associate for a US telecommuter role. This full-time position supports access and assignment of workers' compensation, disability and liability cases, while handling general customer support and data integrity in a team setting.

The ideal candidate has an associate's degree or two years of college, plus at least one year of admin experience; healthcare or WC experience is a plus. A comprehensive benefits package is provided.

Qualifications

• Associate's degree or two years of college preferred.
• One year of administrative experience required.
• Customer service experience in a medical field preferred.
• Workers' 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.
• Enter 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.
• 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

Customer service

Administrative experience

Team collaboration

Communication skills

Education

Associate's degree or 2 years college

Job description

Sedgwick is seeking a Case Management Associate for a US telecommuter role. This full-time position supports access and assignment of workers' compensation, disability and liability cases, while handling general customer support and data integrity in a team setting.

The ideal candidate has an associate's degree or two years of college, plus at least one year of admin experience; healthcare or WC experience is a plus. A comprehensive benefits package is provided.