About this opportunity
Sedgwick lists this Case Management Associate opportunity in nashville, Tennessee. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Telecommuter TN
nR76920
nBy joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
nNewsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
nCertified as a Great Place to Work®
nFortune Best Workplaces in Financial Services & Insurance
nCase Management Associate
nAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
nnnDeliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
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nnBe a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
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nnLeverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
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nnTake advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
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nnEnjoy flexibility and autonomy in your daily work, your location, and your career path.
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nnAccess diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
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n nARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
nPRIMARY PURPOSE OF THE ROLE
nTo access and assign workers compensation, disability and liability cases applying current policies and procedures per state workers compensation laws; and to increase efficiency of operation by providing general customer support duties and supporting the medical staff in a team environment.
nESSENTIAL RESPONSIBLITIES MAY INCLUDE
nnnAccesses and assigns cases for medical case management, utilization review and clinical consultation.
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nnProvides accurate information to callers based on customer requests; triages telephone calls between utilization review, clinical consultation and telephonic case managers.
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nnEnters new claims data into the claims management system accurately; maintains data integrity.
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nnSupports clinical staff through the completion of components of the case management and utilization review process.
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nnSchedules diagnostic tests and physician appointments as assigned.
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nnProvides channeling services for injured workers, employers and claims examiners by directing into PPO network for treatment.
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nnGathers statistics for record keeping and provides reports as required.
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nnEnsures by confirmation that fax forms and filings required by regulatory agencies have been received; distributes, faxes, mails and copies incoming and outgoing correspondence.
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n nQUALIFICATIONS
nEducation & Licensing: Associate's degree or two (2) years of college preferred.
nExperience: One (1) year of administrative experience required. Customer service experience in a medical field preferred. Worker's compensation, disability and/or liability claims processing experience preferred.
nTAKING CARE OF YOU
nnnFlexible work schedule.
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nnReferral incentive program.
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nnOpportunity to work in an agile environment.
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nnCareer development and promotional growth opportunities.
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nnA diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
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n nWORK ENVIRONMENT REQUIREMENTS INCLUDE
nWhen applicable and appropriate, consideration will be given to reasonable accommodations.
nMental: 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
nPhysical: Computer keyboarding
nAuditory/Visual: Hearing, vision and talking
nNEXT STEPS
nIf your application is selected to advance to the next round, a recruiter will be in touch.
nThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
nSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
nIf you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
nSedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com
Worksite address
nashville, TN, 37247, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.