ADA Accommodation Coordinator
Company | Sedgwick Claims Management Services |
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Location | Dublin, OH, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | |
Experience Level | Junior, Mid Level |
Requirements
- High school diploma or GED required.
- Two (2) years of related experience or equivalent combination of education and experience required.
- One (1) year of benefits or claims management experience preferred.
- 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
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.
- Performs other duties as assigned.
- Supports the organization’s quality program(s).
Preferred Qualifications
- One (1) year of benefits or claims management experience preferred.