Return to Work Representative

Return to Work Representative

Requirements

• HS Diploma/GED required
• Bachelor’s degree from an accredited college or university preferred
• Three (3) years of related experience including one (1) year of return-to-work or job accommodation experience or three (3) years of claims management experience or equivalent combination of education and experience required
• Working knowledge of return-to work or job accommodation procedures
• Good technical knowledge of claims management procedures
• Excellent oral and written communications, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

Responsibilities

• Determines objective, quantifiable, medically supported work restrictions for assigned claims
• Facilitates return-to-work (RTW) and accommodation efforts through negotiation with client, treatment provider and claimant; completes all accommodation/RTW related jurisdictional or client directed documentation, notification, or reporting; and documents client contact in claim notes as per Sedgwick CMS standards
• Adheres to medical and legal regulations and accreditation standards in written communication
• Contacts employers to determine specific information regarding employment area (i.e. training/education needed, physical demands, wages and benefits, availability, etc.); ascertains the specific physical tolerances, vocational skills and essential job functions needed for specific employment positions as requested by referral sources or employers; and recommends necessary adaptive equipment as needed
• Maintains regular contact with clients following placement as per program guidelines, contacts involved individuals regarding progress on each case and makes suggestions as needed for changing plans
• Works closely with team members to ensure smooth transition from medical case management into job placement
• Performs other tasks related to accommodation/RTW evaluation and work adjustment as needed
• Performs other duties as assigned

Preferred Qualifications

No preferred qualifications provided.