Sedgwick · 1 day ago
Telephonic Case Manager
United States
Full-time
Remote
Mid Level
$73K/yr - $75K/yrSedgwick is a global company known for its excellence in customer service and caring culture. They are seeking a Telephonic Case Manager to partner with injured workers, employers, and medical providers to create case management strategies that facilitate medical recovery and successful returns to work. The role involves applying medical knowledge to assist in managing complex medical conditions and advocating for effective treatment in a remote work environment.
BankingProperty & Casualty InsuranceInsuranceRisk Management
Responsibilities
Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems
Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor
Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach
Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality
Identifies opportunities to expedite care for cost containment and timely medical recovery
Provides recommendations for alternate clinical resources to support claim resolution
Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards
Qualification
Required
Current unrestricted RN license(s) in a state or territory of the United States required
Preferred
Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience
Certification in case management, rehabilitation nursing or a related specialty is highly preferred
Benefits
Three Medical, and two dental plans to choose from.
Tuition reimbursement eligible.
401K plan that matches 50% on every $ you put in up to the first 6% you save.
4 weeks PTO your first full year.
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
Founded in 1969
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
Company data provided by crunchbase