ADA Coordinator

By joining Sedgwick youll be part of something truly meaningful. Its what our 33000 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 theres no limit to what you can achieve.

Newsweek Recognizes Sedgwick as Americas Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:

Dubuque IA : 4141 Westmark Drive Dubuque IA 52002

Cedar Rapids IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401

Coralville IA: 3273 Ridgeway Drive Coralville IA 52241

Dublin OH : 5500 Glendon Court Dublin OH 43016

New Albany OH : 7795 Walton Parkway New Albany OH 43054

Indianapolis IN: 8909 Purdue Road Suite 501 Indianapolis IN 46268

Irving TX: 2201 W. Royal Lane Suite 125 Irving TX 75063

Memphis TN : 8125 Sedgwick Way Memphis TN 38125

Southfield MI : 300 Galleria Officentre Southfield MI 48034

Orlando FL : 12650 Ingenuity Dr Orlando FL 32826

PRIMARY PURPOSE: To process claims and determine accommodation options following written guidelines and procedures pursuant to ADA state and/or client requirements; to make timely referrals for appropriate disability and federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Informs claimants of documentation required to process claims required time frames and claims status either by phone written correspondence and/or claims system.
• Reviews medical information to determine if the claimant meets the requirements under ADA state and/or client requirements for a qualifying condition.
• Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA state and/or client requirements. Processes ADA claims ensuring compliance with duration control guidelines ADA and state regulations and/or client-specific process provisions.
• Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews where applicable.
• Conducts initial employee interview per process guidelines.
• Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines in-house clinicians ADA job accommodation specialists).
• Refers cases as appropriate to team lead.
• Maintains professional client relationships.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organizations quality program(s).

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of benefits or claims management experience preferred.

Skills & Knowledge

• Excellent oral and written communication skills
• PC literate including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Good negotiation skills
• 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.

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Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.