Remote Case Management Associate | Flexible Schedule

Sedgwick; Juneau (AK); On-site; USD 23,000 - 28,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Case Management Associate for US telecommute, full-time. You will access and assign workers’ compensation, disability and liability cases, supporting the medical staff in a team environment.

Responsibilities include case management, utilization review, data entry, scheduling, and directing to PPO networks. Requires an associate degree or two years of college and at least one year of admin experience, with medical customer service preferred.

Qualifications

• 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

Administrative experience

Customer service (medical)

Education

Associate's degree or two years of college preferred

Job description

Sedgwick is seeking a Case Management Associate for US telecommute, full-time. You will access and assign workers’ compensation, disability and liability cases, supporting the medical staff in a team environment.

Responsibilities include case management, utilization review, data entry, scheduling, and directing to PPO networks. Requires an associate degree or two years of college and at least one year of admin experience, with medical customer service preferred.