return to work Representative

Sedgwick Claims Management Services Ltd; Irving (TX); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Sedgwick Claims Management Services Ltd is seeking a Return-to-Work Coordinator in Irving, TX to negotiate and monitor successful RTW for claimants. You will assist case management staff with competence decisions and coordinate with employers, treatment providers, and claimants.

Ideal candidates have 3 years of RTW or claims management experience, strong communication and negotiation skills, and proficiency with Microsoft Office. The role supports hybrid onsite work near our Irving center.

Qualifications

• HS Diploma/GED required; Bachelor's degree preferred.
• 3 years related RTW, job accommodation or claims management experience.
• Strong written and oral communications; negotiation; analytical and teamwork skills.

Responsibilities

• Determines objective, quantifiable, medically supported work restrictions.
• Facilitates RTW and accommodation through negotiation; completes related documentation.
• Adheres to medical/legal regulations in written communication.
• Contacts employers to determine employment area, tolerances and essential functions; recommends adaptive equipment.
• Maintains regular contact with clients post-placement and monitors progress.
• Works with team to ensure smooth transition from medical case management to job placement.
• Performs other duties related to accommodation/RTW evaluation and work adjustment.

Skills

Communication skills

Negotiation skills

Analytical skills

Teamwork

Organizational skills

Interpersonal skills

Microsoft Office

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 Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance return to work Representative 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

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.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com