Case Coordinator

Case Coordinator

Requirements

• High School diploma or GED required
• One (1) year case management experience or equivalent combination of education and experience required
• Knowledge of BWC Mandatory and Expected EDI Transmission elements
• Good oral and written communication skills
• PC literate, including Microsoft Office products
• Good organizational and time management skills
• Good customer service skills
• Ability to work independently and in a team environment
• Ability to manage multiple and changing priorities
• Decision making/problem solving skills
• Ability to meet or exceed Performance Competencies

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
• Meets and maintains productivity and quality expectations

Preferred Qualifications

No preferred qualifications provided.