Return-to-Work Representative

Sedgwick; Dubuque (IA); On-site; USD 45,000 - 65,000; Full time

Job summary

Sedgwick is hiring a Return-to-Work Representative to help negotiate, facilitate, and monitor successful RTW for claimants in line with disability duration guidelines. You’ll support case management staff with decisions on suitable positions and maintain detailed claim records.

The role requires strong communication, negotiation, and organizational skills, plus experience in claims management or RTW processes. Collaboration with clients and employers is essential to ensure smooth transitions.

Qualifications

• Three years of related experience including one year of return-to-work or job accommodation experience or three years of claims management experience or equivalent combination of education and experience.
• HS Diploma or GED required; Bachelor's degree preferred.
• Strong written and verbal communication, organization, and problem-solving abilities.

Responsibilities

• Determines objective, quantifiable, medically supported work restrictions for assigned claims.
• Facilitates return-to-work and accommodation efforts through negotiation with client, treatment provider and claimant; completes all related documentation.
• Adheres to medical and legal regulations and accreditation standards in written communication.
• Contacts employers to determine specific employment area details and recommends adaptive equipment as needed.
• Maintains regular contact with clients and supports transition from medical case management to job placement.
• Performs other tasks related to accommodation/RTW evaluation and work adjustment.

Skills

Return-to-work

Claims management

Negotiation

Communication

Teamwork

Documentation

Microsoft Office

Analytical skills

Organizational skills

Problem solving

Education

HS Diploma/GED

Bachelor's degree preferred

Tools

None

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 Representative

PRIMARY PURPOSE

To negotiate, facilitate and monitor successful return-to-work of claimants within appropriate disability duration guidelines and to assist case management staff with client competence decisions for individual positions.

ESSENTIAL FUNCTIONS And RESPONSIBILITIES

• Determines objective, quantifiable, medically supported work restrictions for assigned claims.
• Facilitates return-to-work (RTW) and accommodation efforts through negotiation with client, treatment provider and claimant; completes all accommodation/RTW related jurisdictional or client directed documentation, notification, or reporting; and documents client contact in claim notes as per Sedgwick CMS standards.
• Adheres to medical and legal regulations and accreditation standards in written communication.
• Contacts employers to determine specific information regarding employment area (i.e. training/education needed, physical demands, wages and benefits, availability, etc.); ascertains the specific physical tolerances, vocational skills and essential job functions needed for specific employment positions as requested by referral sources or employers; and recommends necessary adaptive equipment as needed.
• Maintains regular contact with clients following placement as per program guidelines, contacts involved individuals regarding progress on each case and makes suggestions as needed for changing plans.
• Works closely with team members to ensure smooth transition from medical case management into job placement.
• Performs other tasks related to accommodation/RTW evaluation and work adjustment as needed.

ADDITIONAL FUNCTIONS And RESPONSIBILITIES

• Performs other duties as assigned.

Qualifications

Education & Licensing

HS Diploma/GED required. Bachelor's degree from an accredited college or university preferred.

Experience

Three (3) years of related experience including one (1) year of return-to-work or job accommodation experience or three (3) years of claims management experience or equivalent combination of education and experience required.

Skills & Knowledge

• Working knowledge of return-to work or job accommodation procedures
• Good technical knowledge of claims management procedures
• Excellent oral and written communications, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation 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.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! 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.