Remote Case Management Associate

Sedgwick; Montpelier (VT); On-site; USD 23,000 - 28,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Job summary

Sedgwick is seeking a Case Management Associate to join as a US telecommuter in a full-time role. You will access and assign workers' compensation, disability and liability cases, providing support to medical staff in a team-based environment.

The position emphasizes accurate data entry, case management duties, and coordination of tests and appointments, while guiding injured workers and employers through the claims process. Sedgwick offers flexible schedules and comprehensive benefits.

Qualifications

• Associates degree or 2 years of college preferred.
• 1 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.
• Provides accurate information to callers based on customer requests; 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

Office administration

Communication skills

Team collaboration

Education

Associate degree

Tools

Claims software

Job description

Sedgwick is seeking a Case Management Associate to join as a US telecommuter in a full-time role. You will access and assign workers' compensation, disability and liability cases, providing support to medical staff in a team-based environment.

The position emphasizes accurate data entry, case management duties, and coordination of tests and appointments, while guiding injured workers and employers through the claims process. Sedgwick offers flexible schedules and comprehensive benefits.