PRIMARY PURPOSE: To perform return-to-work assessment under general supervision; to coordinate return-to-work related activities including gathering medical information for accommodation evaluation; to resolve workers' compensation cases; to provide customer support; and to support return-to-work/accommodation staff.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Performs initial evaluations assessment via telephone calls to physician and employer.
• Evaluates need for alternative return-to-work plan and coordinates return-to-work related activities.
• Supports return-to-work and/or job accommodation processes for return-to-work management.
• Supports return-to-work/job accommodation staff through the completion of components of the return-to-work management process.
• Provides return-to-work support for injured workers, physicians, employers and claims teams.
• Gathers return-to-work data from providers, nurses and return-to-work specialists for record keeping.
• Resolves workers' compensation cases by applying current policies and procedures per state workers' compensation laws and client program design.
• Enters data into the claims management system accurately.
• Adheres to quality assurance standards.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

One (1) year claims management experience or equivalent combination of education and experience required. Return-to-work experience preferred.

Skills & Knowledge

• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: 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

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.