Case Management Associate

About the role

Join Sedgwick, a global industry leader, and be part of a meaningful mission supporting people facing the unexpected. As a Case Management Associate, you’ll deliver innovative customer-facing solutions to clients across diverse industries, leveraging Sedgwick’s broad network of experts. This role offers flexibility, autonomy, and opportunities for professional growth within a rapidly expanding company known for excellence and customer service.

Responsibilities

• Access and assign workers compensation, disability, and liability cases in compliance with state laws and company policies.
• Provide accurate information to callers, triaging requests between utilization review, clinical consultation, and telephonic case managers.
• Enter and maintain new claims data in the claims management system, ensuring data integrity.
• Support clinical staff by completing components of the case management and utilization review process.
• Schedule diagnostic tests and physician appointments as assigned.
• Direct injured workers, employers, and claims examiners into the PPO network for treatment (channeling services).
• Gather statistics for record-keeping and generate required reports.
• Confirm receipt of faxed forms and filings for regulatory agencies; distribute, fax, mail, and copy correspondence.

Requirements

• One (1) year of administrative experience required.
• Customer service experience in a medical field preferred.
• Workers compensation, disability, and/or liability claims processing experience preferred.

Qualifications

Associate's degree or two (2) years of college preferred.

Work Environment

• Mental: Clear and conceptual thinking ability; excellent judgment, problem-solving, and analytical skills; ability to handle work-related stress, multiple priorities, and deadlines.
• Physical: Computer keyboarding.
• Auditory/Visual: Hearing, vision, and verbal communication.

Reasonable accommodations will be considered when applicable and appropriate.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Agile work environment.
• Career development and promotional growth opportunities.
• Comprehensive benefits package, including medical, dental, vision, and 401K (available on day one).