[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"job-return-to-work-representative-sedgwick-claims-management-services-inc-3-de-us":3},{"id":4,"slug":5,"title":6,"description":7,"company":8,"is_featured":11,"featured_until":7,"is_active":12,"deactivated_at":7,"is_enriched":12,"processed_job_posting_json":13,"processed_latitude":71,"processed_longitude":72,"processed_employment_types":73,"processed_working_hours":74,"processed_working_hours_labels":76,"processed_home_office":77,"processed_salary_min":68,"processed_salary_max":69,"processed_salary_currency":65,"processed_salary_source":78,"processed_benefits":79,"processed_benefits_labels":91,"processed_industry":92,"processed_skills":7,"processed_job_location":93,"processed_full_address_gmaps":95,"processed_street_gmaps":97,"processed_city_gmaps":98,"processed_postal_code_gmaps":99,"processed_country_gmaps":101,"processed_country_iso_code_gmaps":103,"full_description":16,"formatted_description":104,"processed_employment_types_labels":35,"processed_home_office_labels":33,"processed_industry_labels":37,"processed_it_skills":105,"processed_it_skills_labels":107,"processed_soft_skills":108,"processed_soft_skills_labels":110,"processed_job_expertise_skills":111,"processed_job_expertise_skills_labels":112,"processed_language_requirements":113,"processed_total_experience_years":106,"processed_professional_field":120,"processed_professional_field_labels":123,"processed_leadership_role":11,"processed_date_posted":19,"raw_job_url":124,"apply_url":7,"raw_hiringOrganization_logo_url":7,"translations":7,"canonical_industry_key":125,"canonical_industry_label":126,"max_cpc":127,"actual_cpc":7},97292,"return-to-work-representative-sedgwick-claims-management-services-inc-3","Return to Work Representative",null,{"name":9,"slug":10,"logo_url":7},"Sedgwick Claims Management Services Inc.","sedgwick-claims-management-services-inc",false,true,{"@context":14,"@type":15,"title":6,"description":16,"hiringOrganization":17,"datePosted":19,"validThrough":20,"jobLocation":21,"jobLocationType":33,"employmentType":34,"industry":36,"skills":38,"baseSalary":63},"https:\u002F\u002Fschema.org\u002F","JobPosting","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 Return to Work Representative PRIMARY PURPOSE: To negotiate, facilitate and monitor successful return-to-work of claimants within appropriate disability duration guidelines and to assist case management staff with client competence decisions for individual positions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Determines objective, quantifiable, medically supported work restrictions for assigned claims. Facilitates return-to-work (RTW) and accommodation efforts through negotiation with client, treatment provider and claimant; completes all accommodation\u002FRTW related jurisdictional or client directed documentation, notification, or reporting; and documents client contact in claim notes as per Sedgwick CMS standards. Adheres to medical and legal regulations and accreditation standards in written communication. Contacts employers to determine specific information regarding employment area (i.e. training\u002Feducation needed, physical demands, wages and benefits, availability, etc.); ascertains the specific physical tolerances, vocational skills and essential job functions needed for specific employment positions as requested by referral sources or employers; and recommends necessary adaptive equipment as needed. Maintains regular contact with clients following placement as per program guidelines, contacts involved individuals regarding progress on each case and makes suggestions as needed for changing plans. Works closely with team members to ensure smooth transition from medical case management into job placement. Performs other tasks related to accommodation\u002FRTW evaluation and work adjustment as needed. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing HS Diploma\u002FGED required. Bachelor's degree from an accredited college or university preferred. Experience Three (3) years of related experience including one (1) year of return-to-work or job accommodation experience or three (3) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Working knowledge of return-to work or job accommodation procedures Good technical knowledge of claims management procedures Excellent oral and written communications, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation 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\u002FVisual: 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. 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 $26.55 - $37.18 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. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps 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. For more, see sedgwick.com",{"@type":18,"name":9},"Organization","2026-10-15","2027-10-15",[22],{"@type":23,"address":24,"geo":29},"Place",{"@type":25,"addressLocality":26,"addressCountry":27,"addressRegion":28},"PostalAddress","Fallbrook","US","Kalifornien",{"@type":30,"latitude":31,"longitude":32},"GeoCoordinates",33.3764196,-117.2511466,"ONSITE",[35],"PERMANENT",[37],"Insurance and Claims Management",[39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62],"Microsoft Office","Oral Communication","Written Communication","Presentation Skills","Analytical Skills","Interpretive Skills","Organizational Skills","Interpersonal Skills","Negotiation Skills","Teamwork","Problem Solving","Judgment","Troubleshooting","Discretion","Stress Management","Time Management","Return-to-Work Procedures","Job Accommodation Procedures","Claims Management","Medical and Legal Regulations","Accreditation Standards","Vocational Assessment","Adaptive Equipment Recommendation","Case Management",{"@type":64,"currency":65,"value":66},"MonetaryAmount","USD",{"@type":67,"minValue":68,"maxValue":69,"unitText":70},"QuantitativeValue",55224,77334,"YEAR",[31],[32],"permanent",[75],"FULL_TIME",[75],"onsite","estimated",[80,81,82,83,84,85,86,87,88,89,90],"Medical insurance","Dental insurance","Vision insurance","401k and matching","Paid time off (PTO)","Disability insurance","Life insurance","Employee assistance program","Flexible spending account","Health savings account","Other voluntary benefits",[80,81,82,83,84,85,86,87,88,89,90],"insurance and claims management",[94],"sedgwick, west hills, ca - fallbrook, united states of america",[96],"Fallbrook, Kalifornien 92028, USA",[],[26],[100],"92028",[102],"USA",[27],"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.\n\n- Newsweek Recognizes Sedgwick as America’s Greatest Workplaces\n- National Top Companies\n- Certified as a Great Place to Work®\n- Fortune Best Workplaces in Financial Services & Insurance\n\n## Return to Work Representative\n\n**PRIMARY PURPOSE:**\nTo negotiate, facilitate and monitor successful return-to-work of claimants within appropriate disability duration guidelines and to assist case management staff with client competence decisions for individual positions.\n\n## ESSENTIAL FUNCTIONS and RESPONSIBILITIES\n\n- Determines objective, quantifiable, medically supported work restrictions for assigned claims.\n- Facilitates return-to-work (RTW) and accommodation efforts through negotiation with client, treatment provider and claimant; completes all accommodation\u002FRTW related jurisdictional or client directed documentation, notification, or reporting; and documents client contact in claim notes as per Sedgwick CMS standards.\n- Adheres to medical and legal regulations and accreditation standards in written communication.\n- Contacts employers to determine specific information regarding employment area (i.e. training\u002Feducation needed, physical demands, wages and benefits, availability, etc.); ascertains the specific physical tolerances, vocational skills and essential job functions needed for specific employment positions as requested by referral sources or employers; and recommends necessary adaptive equipment as needed.\n- Maintains regular contact with clients following placement as per program guidelines, contacts involved individuals regarding progress on each case and makes suggestions as needed for changing plans.\n- Works closely with team members to ensure smooth transition from medical case management into job placement.\n- Performs other tasks related to accommodation\u002FRTW evaluation and work adjustment as needed.\n\n## ADDITIONAL FUNCTIONS and RESPONSIBILITIES\n\n- Performs other duties as assigned.\n\n## QUALIFICATIONS\n\n**Education & Licensing**\nHS Diploma\u002FGED required. Bachelor's degree from an accredited college or university preferred.\n\n**Experience**\nThree (3) years of related experience including one (1) year of return-to-work or job accommodation experience or three (3) years of claims management experience or equivalent combination of education and experience required.\n\n**Skills & Knowledge**\n\n- Working knowledge of return-to work or job accommodation procedures\n- Good technical knowledge of claims management procedures\n- Excellent oral and written communications, including presentation skills\n- PC literate, including Microsoft Office products\n- Analytical and interpretive skills\n- Strong organizational skills\n- Excellent interpersonal skills\n- Excellent negotiation skills\n- Ability to work in a team environment\n- Ability to meet or exceed Performance Competencies\n\n## WORK ENVIRONMENT\n\nWhen applicable and appropriate, consideration will be given to reasonable accommodations.\n\n**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\n\n**Physical:** Computer keyboarding, travel as required\n\n**Auditory\u002FVisual:** Hearing, vision and talking\n\nThe 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.\n\nAs 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 $26.55 - $37.18 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.\n\nQualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.\n\nSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.\n\nIf you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.\n\nSedgwick is the world’s leading risk and claims administration partner, which helps 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. For more, see sedgwick.com",{"microsoft office":106},3,[39],{"oral communication":109,"written communication":109,"presentation skills":109,"analytical skills":109,"interpretive skills":109,"organizational skills":109,"interpersonal skills":109,"negotiation skills":109,"teamwork":109,"problem solving":109,"judgment":109,"troubleshooting":109,"discretion":109,"stress management":109,"time management":109},4,[40,41,42,43,44,45,46,47,48,49,50,51,52,53,54],{"case management":106,"claims management":109,"vocational assessment":106,"accreditation standards":106,"return-to-work procedures":109,"job accommodation procedures":109,"medical and legal regulations":106,"adaptive equipment recommendation":106},[55,56,57,58,59,60,61,62],{"detected_language_jobad":114,"required":115},"en",[116],[117],{"language":118,"level":119},"ENGLISH","C2",[121,122],"Social and Religious Professionals","Administrative and Specialized Secretaries",[121,122],"https:\u002F\u002Fsedgwick.wd1.myworkdayjobs.com\u002Fen-us\u002Fsedgwick\u002Fjob\u002Fwest-hills-ca\u002Freturn-to-work-representative_r79357","insurance","Insurance",1]