ADA Accommodation Coordinator

PRIMARY PURPOSE

To process claims and determine accommodation options following written guidelines and procedures pursuant to ADA, state and/or client requirements; to make timely referrals for appropriate disability and federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and/or claims system.
• Reviews medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition.
• Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements.
• Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and/or client-specific process provisions.
• Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews where applicable.
• Conducts initial employee interview per process guidelines.
• Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists).
• Refers cases as appropriate to team lead.
• Maintains professional client relationships.

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. Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of benefits or claims management experience preferred.

Skills & Knowledge

• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Good 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

Note

• Credit security clearance, confirmed via a background credit check, is required for this position.
• Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.