Return-to-Work Specialist

Primary Purpose To negotiate, facilitate and monitor successful return to work of claimants within appropriate disability duration guidelines; to determine specific physical tolerances and vocational skills required for specific employment positions as requested by referral sources or employers; to assist case management staff with client competence decisions for individual positions; to contact employers to gather specific job site/employment information and prepare related reports documenting results; to assist with job site modification and/or obtaining adaptive equipment necessary; and to ensure medical, legal and accreditation standards are maintained. Essential Functions and Responsibilities Determine objective, quantifiable, medically supported work restrictions for assigned claims. Facilitate return‑to‑work (RTW) efforts through negotiation with client, treatment provider, and claimant; complete all vocational/RTW‑related jurisdictional or client‑directed documentation, notification or reporting; document client contact in claim notes as per Sedgwick CMS standards; and assist case management staff in making decisions regarding client’s competence for a specific position. Adhere to medical and legal regulations and accreditation standards in written communication. Develop contacts with company managers to introduce the program; represent the client. Contact employers to determine specific information regarding employment area (e.g., training/education needed, physical demands, wages and benefits, availability, etc.); ascertain the specific physical tolerances and vocational skills needed for specific employment positions as requested by referral sources or employers; assist in modifying job sites or obtaining necessary adaptive equipment; and communicate with co‑workers regarding specific employment areas to apprise them of labor trends. Maintain regular contact with clients following placement, as per program guidelines; contact involved individuals regarding progress on each case, and make suggestions as needed for changing rehabilitation plans. Work closely with team members to ensure a smooth transition from medical case management to job placement. Prepare reports to document research results. Perform other tasks related to vocational evaluation and work adjustment training as needed. Additional Functions and Responsibilities Perform other duties as assigned. Support the organization’s quality program(s). Education & Licensing Certified Rehabilitation Counselor (CRC) designation required. Experience Four (4) years of related experience or equivalent combination of education and experience required, including: One (1) year of return‑to‑work or job accommodation experience, or Four (4) years of claims management experience. Skills & Knowledge Good working knowledge of return‑to‑work or job accommodation procedures Good technical knowledge of claims management procedures Excellent oral and written communication, 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 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. Compensation and Benefits As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $55,000.00 – $60,000.00 USD annual salary. A comprehensive benefits package is offered, including but not limited to medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Equal Opportunity Employer Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr Sedgwick