Case Coordinator

About the role

Join Sedgwick, a company recognized by Newsweek as America's Greatest Workplaces, where you can grow your career, experience a caring culture, and enjoy work-life balance. Sedgwick is a national leader in workers' compensation, financial services, and insurance, providing a supportive environment for professionals.

Responsibilities

• 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.
• Maintains productivity and quality expectations.

Qualifications

• High school diploma or GED required.
• Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required.
• Clerical or customer service experience or equivalent combination of education and experience preferred.

Benefits

An entry-level colleague is offered a world-class training program with a comprehensive curriculum, an assigned mentor and manager that will support and guide you on your career journey, career development and promotional growth opportunities, and a diverse and comprehensive benefits offering including medical, dental, vision, 401k, PTO, disability, and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Pay and Schedule

The starting pay range for this role is $17.00 - 19.00/hr. 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.

Benefits

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.