Return-to-Work Representative
Irving, TX - USA
Job Summary
By joining Sedgwick youll be part of something truly meaningful. Its what our 33000 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 theres no limit to what you can achieve.
Newsweek Recognizes Sedgwick as Americas Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Return-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 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. Bachelors 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.
Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.
Required Experience:
Unclear Seniority
About Company
Sedgwick's tech-enabled risk, benefits, and integrated business solutions include comprehensive claims management and loss adjusting across industries.