Return-to-Work Representative

Sedgwick Claims Management Services Ltd; Iowa (LA); Hybrid; USD 29,000 - 37,000; Full time

Job summary

Sedgwick Claims Management Services Ltd is seeking a Return-to-Work Representative to assess medical restrictions, coordinate RTW planning, and negotiate with employers and providers to restore work activity. The role emphasizes documentation, compliance with regulations, and collaboration with case managers to ensure successful placements while managing multiple claims.

Candidates should have a HS diploma, 3 years of related experience, and strong communication and negotiation skills; a

Qualifications

• HS Diploma or GED required; Bachelor's degree preferred.
• Three years of related experience including RTW or claims management.
• Strong written and verbal communication, including presentation skills.
• PC literate with Microsoft Office products.

Responsibilities

• Determine objective, medically supported work restrictions for assigned claims.
• Facilitate return-to-work and accommodation through negotiation with client, provider and claimant; document all related actions.
• Document client contact in claim notes per Sedgwick CMS standards.
• Contact employers to determine physical demands, training needs, wages and benefits.
• Maintain regular contact with clients and monitor progress after placement.
• Work with team to transition from medical case management to job placement.
• Perform other duties related to accommodation/RTW evaluation as needed.

Skills

RTW procedures

Communication skills

Negotiation skills

Team collaboration

Analytical thinking

Documentation accuracy

Education

HS Diploma/GED

Bachelor's degree preferred

Tools

Microsoft Office

Job description

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. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of pay for this role is $20.78 - 26.67/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.