Return-to-Work Representative

Sedgwick Claims Management Services Ltd; Dubuque (IA); On-site; USD 55,000 - 70,000; Full time

Job summary

Sedgwick Claims Management Services Ltd seeks a Return-to-Work Representative to negotiate, facilitate, and monitor successful RTW for claimants. You will support case management staff and work with clients, providers, and employers to define job requirements and accommodations.

Responsibilities include documenting processes, adhering to regulations, and maintaining client contact to adjust plans as needed. Strong negotiation and communication skills are essential.

Qualifications

• HS Diploma/GED required.
• Bachelor's degree from an accredited college or university preferred.
• At least 3 years of related experience including RTW or job accommodation experience, or 3 years in claims management.

Responsibilities

• Determines objective, medically supported work restrictions for claims.
• Facilitates RTW and accommodations through negotiation; documents all related information.
• Adheres to medical and legal regulations in written communications.
• Contacts employers to determine job requirements and potential adaptive equipment.
• Maintains regular contact with clients after placement and updates plans.
• Collaborates with team to transition from medical case management to job placement.
• Performs other duties related to accommodation/RTW evaluation as needed.

Skills

RTW knowledge

Communication skills

Negotiation

Teamwork

Analytical

Organizational

Interpersonal

MS Office

Problem solving

Education

HS Diploma/GED

Bachelor's degree preferred

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 CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceReturn-to-Work RepresentativePRIMARY 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 RESPONSIBILITIESDetermines 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 RESPONSIBILITIESPerforms other duties as assigned.QUALIFICATIONSEducation & LicensingHS Diploma/GED required. Bachelor's degree from an accredited college or university preferred.ExperienceThree (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 & KnowledgeWorking knowledge of return-to work or job accommodation proceduresGood technical knowledge of claims management proceduresExcellent oral and written communications, including presentation skillsPC literate, including Microsoft Office productsAnalytical and interpretive skillsStrong organizational skillsExcellent interpersonal skillsExcellent negotiation skillsAbility to work in a team environmentAbility to meet or exceed Performance CompetenciesWORK ENVIRONMENTWhen 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 deadlinesPhysical : Computer keyboarding, travel as requiredAuditory/Visual : Hearing, vision and talkingThe 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.