[Hiring] Return-to-Work Representative @Sedgwick

Role Description

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.
• 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.

Requirements

• 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.

Benefits

• Comprehensive benefits package including but not limited to:
• Medical, dental, vision.
• 401k and matching.
• PTO.
• Disability and life insurance.
• Employee assistance.
• Flexible spending or health savings account.
• Other additional voluntary benefits.