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.
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: 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.
Requirements
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