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Sedgwick · 12 hours ago

Bilingual ADA Accommodation Coordinator- Spanish or Portuguese

Southfield, MI

Full-time

Hybrid

Entry Level

2+ years exp

Sedgwick is a leading claims management services company, and they are seeking a Bilingual ADA Accommodation Coordinator. The primary purpose of this role is to process claims and determine accommodation options following ADA guidelines and ensure compliance with state and client requirements.

BankingInsuranceRisk Management

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)

Qualification

Bilingual (Spanish/Portuguese)Claims management experienceAnalytical skillsMicrosoft OfficeCommunication skillsOrganizational skillsInterpersonal skillsNegotiation skillsTeamwork ability

Required

Must be bilingual in Portuguese or Spanish

High school diploma or GED required

Two (2) years of related experience or equivalent combination of education and experience required

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

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

Computer keyboarding, travel as required

Hearing, vision and talking