Case Management Specialist

📋 Description

• • The Case Management Specialist role at Sedgwick Claims Management Services, Inc. is essential for ensuring timely and accurate handling of workers’ compensation, disability, and liability cases in compliance with state laws, directly supporting injured workers and operational efficiency.
• • Day-to-day responsibilities include accessing and assigning cases for medical management, triaging incoming calls, entering and maintaining claims data in the system, scheduling medical appointments and diagnostic tests, coordinating care through PPO networks, gathering statistics, preparing reports, and ensuring regulatory documentation is properly filed and distributed.
• • Sedgwick is a nationally recognized leader in claims and productivity solutions, employing 33,000 colleagues dedicated to serving people facing unexpected challenges; the company is certified as a Great Place to Work®, recognized by Newsweek as one of America’s Greatest Workplaces, and honored as a Fortune Best Workplace in Financial Services & Insurance.
• • In this role, you will develop expertise in medical and insurance terminology, ICD-9 and CPT coding, claims processing systems, and regulatory compliance while strengthening communication, organizational, and analytical skills in a collaborative, team-oriented environment that values professional growth and meaningful work.