Florida, United States · Remote Solely
$13/hr–$19/hr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Customer Service, Critical Thinking, Oral Communication, Written Communication, Microsoft Office
Marlton, New Jersey, United States · Hybrid
$20/hr–$25/hr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Workers Compensation Claims, Claims Adjudication, Medical-Only Claims, Case Management, Regulatory Compliance
Dubuque, Iowa, United States · On-site
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Claims Management, Leadership, Disability Claims Adjudication, Personnel Management, Quality Review
Maryland, United States · Remote OK
$80k–$90k/yr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Workers Compensation Claims Management, Claims Adjudication, NY Jurisdictional Knowledge, Settlement Negotiation, Case Management
United Kingdom · Hybrid
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Claims Processing, Investigation Skills, Evidence Evaluation, Organizational Skills, Communication Skills
Dublin, Leinster, Ireland · On-site
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Travel Insurance Knowledge, Claims Assessment, Analytical Skills, Numeracy Skills, Attention To Detail
Tampa, Florida, United States · On-site
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Financial Analysis, Compensation Administration, Bonus Plan Administration, Accounting, GAAP
Roseville, California, United States · Hybrid
$95k–$100k/yr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Claims Adjudication, Workers Compensation, Team Leadership, Case Management, Reserve Evaluation
Orange, California, United States · On-site
$22/hr–$24/hr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Claims Adjudication, Workers Compensation, Benefits Eligibility, Case Management, Client Relationship Management
Cedar Rapids, Iowa, United States · On-site
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Disability Case Management, Medical Documentation Analysis, ADA Accommodations, ERISA Regulations, FMLA Regulations
Raleigh, North Carolina, United States · Hybrid
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Case Management, Patient Advocacy, Treatment Planning, Clinical Knowledge, Rehabilitation
Alabama, United States · Remote Solely
$17/hr–$17/hr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Lease Management, Customer Service, Vendor Coordination, Problem Solving, Microsoft Office
Alabama, United States · Remote Solely
$17/hr–$17/hr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Lease Management, Customer Service, Vendor Coordination, Problem Solving, Microsoft Office
United States · Remote Solely
$250k–$275k/yr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Utilization Review, Clinical Quality Control, Evidence-Based Guidelines, ADAAA Knowledge, FMLA Knowledge
New Albany, Ohio, United States · On-site
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Financial Analysis, Claims Management, Pricing Models, Microsoft Excel, Data Analysis
Orange, California, United States · Hybrid
$80k–$105k/yr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Workers Compensation Claims Handling, Claims Adjudication, Litigation Management, Subrogation, Reserve Calculation
Fallbrook, California, United States · Hybrid
$80k–$90k/yr
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Claims Adjudication, Workers Compensation, Negotiation, Case Management, Investigation
Blumenau, Santa Catarina, Brazil · Remote OK
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: Claims Management, Travel Insurance, French Language Proficiency, German Language Proficiency, English Language Proficiency
Munich, Bavaria, Germany · Remote OK
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experi…
Skills: French Language Proficiency, German Language Proficiency, English Language Proficiency, Claims Processing, Travel Insurance Knowledge
Albury, New South Wales, Australia · Hybrid
The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option. By joining Sedgwick, you'll be part of something truly meaningful…
Skills: Forensic Investigation, Structural Design, Causation Reporting, Building Inspection, Structural Computations
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The role involves processing medical referrals by coordinating between patients, vendor partners, claims adjusters, and nurse case managers. Responsibilities include confirming patient demographics, procuring vendors, and ensuring billing information is accurate for daily processing.
A high school diploma or GED is required along with two years of experience in healthcare network and patient care scheduling. Proficiency in Microsoft Office and strong communication skills are essential, with Spanish bilingualism preferred.
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Patient Care Coordinator-Bilingual PreferredPRIMARY PURPOSE: To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services.
Spanish Bilingual Preferred
Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or confirming delivery of said goods or service.
Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process.
Procures vendor partners for each referral as it relates to the goods or services requested.
Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals.
Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim’s adjuster.
Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day.
Processes referrals per state regulations and workers compensation guidelines.
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.
High school diploma or GED required.
Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required.
Strong customer service skills
Strong critical thinking skills
Self-Starter
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Ability to create and complete comprehensive, accurate and constructive written reports
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in (Colorado or New York City). Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the state noted in this job posting only, the range of starting pay for this role is (13.93 - 19.45 -USD Hourly). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
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
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
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.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00-17.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Offices: 60 Fenchurch Street, London, England EC3M 4AD, GB · 5-6 Esplande Charles de Gaulle, Nanterre, FR
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Offices: 60 Fenchurch Street, London, England EC3M 4AD, GB · 5-6 Esplande Charles de Gaulle, Nanterre, FR
