Utilization Review Coordinator

📋 Description

• • The Utilization Review Coordinator plays a vital role in supporting clinical operations by managing utilization review requests, ensuring accurate data entry, and providing administrative support to clinical teams in a fast-paced healthcare environment.
• • Day-to-day responsibilities include accessing, triaging, and assigning utilization review cases; responding to telephone inquiries with accurate information; entering demographic and clinical data into claims or clinical management systems; maintaining data integrity; distributing correspondence; uploading documents to paperless systems; and supporting other units as needed.
• • Sedgwick Claims Management Services, Inc. is a nationally recognized leader in claims and productivity solutions, serving injured workers and individuals facing unexpected life events. With over 33,000 colleagues, the company is certified as a Great Place to Work®, recognized by Newsweek as one of America’s Greatest Workplaces, and honored by Fortune as a Best Workplace in Financial Services & Insurance.
• • In this role, you will develop strong administrative, organizational, and communication skills within a healthcare claims context; gain hands-on experience with medical and insurance terminology, ICD-9 and CPT coding; and build a foundation for career growth in clinical operations, utilization management, or healthcare administration within a supportive, inclusive culture.