Senior Disability Clinical Specialist job opportunity at Sedgwick.

Home Jobs In United States Of America Tag: Job Senior Disability Clinical Specialist position at Sedgwick


DateMore Than 30 Days Ago bot
Sedgwick Senior Disability Clinical Specialist
Experience: General
Pattern: full-time
Country:
apply Apply Now
Salary:
Status:

Job

Copy Link Report
degreeBachelor's (B.A.)
loacation Telecommuter IA, United States Of America
loacation Telecommuter I..........United States Of America

By 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. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Senior Disability Clinical Specialist PRIMARY PURPOSE :   To perform standard and complex clinical evaluations as determined by clinical screenings and patient assessments. To consult providers and employees by providing case direction. Ensures medical information corroborates the need for employee absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs and completes complex clinical reviews of referred medical claims to ensure accurate information is received by employees and providers Makes regular timely, appropriate contact with employees and/or providers to discuss clinical status, progress, and work status. Substantiates disability and provides follow-up recommendations for ongoing medical management of claims Ensures appropriate recommendations are made on claims. Assists with clinical training, onboarding, examiner presentations, and processes change assessments Assists with updating clinical teamsite and training references. Analyzes work queues and assignment workloads to ensure appropriate requirements are met Assists with escalations Acts as a backup for the team lead and mentors less experience specialists.   ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Current RN Licenses are required. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquitision of the necessary CEUs to maintain licenses and designations. Experience Six (6) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Proven management/leadership skills Excellent negotiating skills Ability to create and complete comprehensive, accurate and constructive written reports Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental :  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 Physical :  Computer keyboarding, travel as required Auditory/Visual :  Hearing, vision and talking NOTE :  Credit security clearance, confirmed via a background credit check, is required for this position. The 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. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If 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.

Other Ai Matches

Sr. Executive General Adjuster - Mid Atlantic Region Applicants are expected to have a solid experience in handling Job related tasks
Medisch Claimbehandelaar Applicants are expected to have a solid experience in handling Job related tasks
Underwriting Analyst - Property and Casualty | Hybrid Applicants are expected to have a solid experience in handling Job related tasks
Sr. Claims Specialist, E&O, D&O | Professional Liabilty Applicants are expected to have a solid experience in handling E&O, D&O | Professional Liabilty related tasks
General Adjuster Applicants are expected to have a solid experience in handling Job related tasks
Expert en Sinistres Majeurs et Complexes Applicants are expected to have a solid experience in handling Job related tasks
Mgr Client Services - Workforce Absence Applicants are expected to have a solid experience in handling Job related tasks
Advocacy Coordination Team Specialist Applicants are expected to have a solid experience in handling Job related tasks
Workers Compensation Claims Assistant | Entry Level | Glendale, CA Applicants are expected to have a solid experience in handling CA related tasks
Disability Representative Sr Applicants are expected to have a solid experience in handling Job related tasks
Regional General Adjuster - Midwest Region Applicants are expected to have a solid experience in handling Job related tasks
Property Loss Adjuster Applicants are expected to have a solid experience in handling Job related tasks
Claims Adjuster l Workers Compensation l Portland, OR l Hybrid Applicants are expected to have a solid experience in handling OR l Hybrid related tasks
Workforce Absence Team Lead Applicants are expected to have a solid experience in handling Job related tasks
Sr. Adjuster- Accident Benefits Applicants are expected to have a solid experience in handling Job related tasks
Disability Representative Sr Applicants are expected to have a solid experience in handling Job related tasks
Field Case Manager-Sign-On Bonus Eligible Applicants are expected to have a solid experience in handling Job related tasks
Executive General Adjuster Applicants are expected to have a solid experience in handling Job related tasks
Property Desk Adjuster Applicants are expected to have a solid experience in handling Job related tasks
Hazmat Claims Adjuster -Remote after training Applicants are expected to have a solid experience in handling Job related tasks
Property Adjuster - London Applicants are expected to have a solid experience in handling Job related tasks
Claims Associate l Liability l Phoenix, AZ Applicants are expected to have a solid experience in handling AZ related tasks
Senior MCL Adjuster Applicants are expected to have a solid experience in handling Job related tasks