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ADA Accommodation Coordinator

ADA Accommodation Coordinator

CompanySedgwick Claims Management Services
LocationDublin, OH, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
Degrees
Experience LevelJunior, 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.