Case Coordinator

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.

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Case Coordinator

PRIMARY PURPOSE : To gather claim data and manage low to mid-level workers compensation claims to full duty Return to work; facilitate appropriate treatment services efficiently, within required Ohio BWC Guidelines for compliance, company standards, industry best practices and/or client specific requirements to promote best outcomes.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

• Obtains expected elements for subsequent EDI to the Bureau of Workers Compensation (BWC).

• Manages medical-only and low- to mid-level lost-time workers compensation claims under close supervision.

• Processes workers compensation claims reviewing receipt of compensation; Treatment plans; facilitating services; collaborating with all claim parties with updates and changes.

• Verifies return to work documentation through telephonic and written communications and records return to work dates appropriately in system(s).

• Manages claims in close collaboration with Claims Management Team.

• Supports other claims management staff with larger or more complex claims as necessary.

• Makes referral for case management and/or utilization management when work status changes due to functional limitations/medical instability.

• Documents communications and claims management appropriately in system(s).

• Responds to all inquiries within one (1) business day.

• Maintains knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures.

• Maintains professional client relationships

• Meets and maintains productivity and quality expectations

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

High School diploma or GED required.

Experience

One (1) year case management experience or equivalent combination of education and experience required.

Skills & Knowledge

• Knowledge of BWC Mandatory and Expected EDI Transmission elements

• Good oral and written communication skills

• PC literate, including Microsoft Office products

• Good organizational and time management skills

• Good customer service skills

• Ability to work independently and in a team environment

• Ability to manage multiple and changing priorities

• Decision making/problem solving skills

• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

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

TAKING CARE OF YOU BY

• We offer a diverse and comprehensive benefits package including:

• Three Medical, and two dental plans to choose from.

• Tuition reimbursement eligible.

• 401K plan that matches 50% on every $ you put in up to the first 6% you save.

• 4 weeks PTO your first full year.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

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 starting pay for this role is $19.00 - $21.00/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.

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