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Sedgwick · 6 hours ago

Telephonic Case Manager

United States

Full-time

Remote

Mid Level

$72K/yr - $75K/yr

Sedgwick is a global company dedicated to supporting injured workers and providing exceptional customer service. The Telephonic Case Manager will create case management strategies to facilitate medical recovery and ensure a successful return to work through advocacy and coordination of medical services.

BankingInsuranceRisk 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

RN licenseCase management certificationRehabilitation nursing certificationClinical assessmentCommunication skillsProblem solvingTeam collaboration

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 preferred

Certification in case management, rehabilitation nursing or a related specialty is highly preferred

Benefits

Medical

Dental

Vision

401K

PTO

Disability

Life insurance

Employee assistance

Flexible spending or health savings account

Other additional voluntary benefits

Company

Sedgwick

Glassdoor3.3

Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.

Founded in 1969

Memphis, Tennessee, USA

10001+ employees

http://www.sedgwick.com

Funding

Current Stage

Late Stage

Total Funding

$1.5B

Key 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

Sedgwick names Paul White as CEO, International

2025-11-10

Research and Markets

Insurance Third Party Administrators Market Outlook 2025-2030: Increasing Demand for Healthcare TPAs Driving Industry Growth

2025-09-12

PR Newswire

Sedgwick appoints Vishy Padmanabhan to Chief Transformation Officer

2025-09-04

Company data provided by crunchbase