Sedgwick is hiring for a Remote Case Management Job for candidates interested in healthcare administration, workers compensation support, and claims operations. This telecommute Tennessee role helps support medical case management and utilization review processes.
In this position, you will work with claims data, scheduling tasks, healthcare records, and customer support requests. Also, you will help maintain accurate documentation and support clinical staff in a fast-paced environment.
Case Management Associate Responsibilities
As a Case Management Associate, you will access and assign workers compensation, disability, and liability cases. You will also enter claims data into the claims management system while maintaining accuracy and data integrity.
In addition, you may support clinical staff by helping complete utilization review and case management tasks. You may also gather reports, maintain records, and distribute incoming and outgoing correspondence.
Claims Support and Scheduling Duties
This Remote Case Management Job also includes scheduling physician appointments and diagnostic tests. You may also direct injured workers into PPO treatment networks and support communication between utilization review teams, telephonic case managers, and clinical consultation staff.
Also, the role includes handling fax forms, filings, reports, and regulatory documentation.
Qualifications for This Remote Case Management Job
Sedgwick prefers candidates with an associate degree or two years of college. One year of administrative experience is required, and customer service experience in a medical setting is preferred.
Candidates should also have:
- Microsoft Office skills
- Strong organization and detail orientation
- Analytical and communication skills
- Knowledge of medical and insurance terminology
- Familiarity with ICD-9 and CPT coding systems
Work Environment and Benefits
Sedgwick offers a blended work environment, professional growth opportunities, tuition reimbursement, PTO, medical and dental plans, and a 401K match.
This role may be a strong fit for candidates who enjoy healthcare support, claims administration, scheduling, medical documentation, and operational coordination.
Why Apply
This Remote Case Management Job may help candidates build experience in healthcare operations, workers compensation support, medical scheduling, and claims processing. It may also provide valuable exposure to case management and healthcare administration workflows.