Return To Work Associate

Sedgwick; Orlando (FL); On-site; USD 40,000 - 55,000; Full time

Job summary

Sedgwick is seeking a Return-to-Work Associate in Orlando, FL. The role involves performing return-to-work assessments, coordinating related activities with physicians, employers, and claims teams, and supporting accommodation processes under supervision.

Ideal candidates have at least one year of claims management experience, strong communication, analytical and organizational skills, and the ability to work well in a team. This on-site role emphasizes quality processes and customer support.

Qualifications

• High school diploma or GED required.
• One year claims management experience or equivalent; return-to-work experience preferred.
• Excellent oral and written communication, including presentation skills.

Responsibilities

• Performs initial evaluations via telephone with physician and employer.
• Evaluates need for alternative return-to-work plan and coordinates related activities.
• Supports return-to-work and accommodation processes for management.
• Supports the organization’s quality programs.
• Provides return-to-work support for injured workers, physicians, employers and claims teams.
• Gathers data from providers for record keeping and enters it into the system.
• Adheres to policies and resolves workers’ compensation cases.
• Enters data accurately and maintains quality standards.

Skills

Excellent communication

PC literate

Analytical skills

Organizational skills

Interpersonal skills

Teamwork

Performance competencies

Education

High school diploma or GED

Tools

Microsoft Office

Job description

By joining Sedgwick, you’ll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Return To Work Associate

PRIMARY PURPOSE : To perform return-to-work assessment under general supervision; to coordinate return-to-work related activities including gathering medical information for accommodation evaluation; to resolve workers’ compensation cases; to provide customer support; and to support return-to-work/accommodation staff.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Performs initial evaluations assessment via telephone calls to physician and employer.
• Evaluates need for alternative return-to-work plan and coordinates return-to-work related activities.
• Supports return-to-work and/or job accommodation processes for return-to-work management.
• Supports the organization’s quality program(s).
• Provides return-to-work support for injured workers, physicians, employers and claims teams.
• Gathers return-to-work data from providers, nurses and return-to-work specialists for record keeping.
• Resolves workers’ compensation cases by applying current policies and procedures per state workers’ compensation laws and client program design.
• Enters data into the claims management system accurately.
• Adheres to quality assurance standards.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization’s quality program(s).

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

One (1) year claims management experience or equivalent combination of education and experience required. Return-to-work experience preferred.

Skills & Knowledge

• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.