return to work Representative

Sedgwick; Irving (TX); Hybrid; USD 48,000 - 66,000; Full time

Job summary

Sedgwick in Irving, TX is seeking a Return-to-Work Representative to assess and coordinate safe, timely RTW options for claimants. You will determine work restrictions, communicate with employers and providers, and document progress in our claims system.

Ideal candidates have a HS diploma, 3+ years in claims or RTW, and strong communication skills. This role offers hybrid work in a supportive team environment with opportunities for growth.

Qualifications

• HS Diploma or GED required.
• Bachelor's degree preferred.
• 3 years of related experience including 1 year in RTW or job accommodation or 3 years in claims management, or equivalent.
• Familiar with workplace accommodations and disability guidelines.

Responsibilities

• Determine objective, medically supported work restrictions for claims.
• Facilitate RTW and accommodation through negotiations with client and provider; document communications.
• Adhere to medical, legal, and accreditation standards in written communications.
• Contact employers to clarify job demands, training, wages, and availability; assess physical tolerances and essential functions.
• Maintain client contact post-placement and support plan adjustments as needed.
• Collaborate with team to ensure smooth transition from medical case management to placement.

Skills

RTW procedures

Claims management

Oral and written communication

Microsoft Office

Analytical skills

Organizational skills

Interpersonal skills

Negotiation skills

Teamwork

Performance competencies

Education

HS Diploma/GED

Bachelor's degree preferred

Job description

return to work Representative

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 & Insurance

Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:

• Irving, TX : 2201 W. Royal Lane Suite 125 Irving, TX 75063
• Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268
• Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826

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

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

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

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

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.