Bilingual

• 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.

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