Remote Case Management Associate — Flexible & Growth‑Focused

Sedgwick; Honolulu (HI); On-site; USD 23,000 - 28,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401K on day one

Flexible work schedule

Referral incentive program

Career development and growth

Job summary

Sedgwick is hiring a Case Management Associate for a US Telecommuter, full-time position. You will access and assign workers’ compensation, disability and liability cases, providing essential administrative support and aiding clinical staff.

The role emphasizes data integrity, efficient case management, and coordination with medical professionals. Sedgwick offers a flexible, rewarding environment with comprehensive benefits.

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 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 support

Medical terminology

Education

Associate's degree or two years of college

Job description

Sedgwick is hiring a Case Management Associate for a US Telecommuter, full-time position. You will access and assign workers’ compensation, disability and liability cases, providing essential administrative support and aiding clinical staff.

The role emphasizes data integrity, efficient case management, and coordination with medical professionals. Sedgwick offers a flexible, rewarding environment with comprehensive benefits.