ADA Accommodation Specialist - Sedgwick Claims Management Services, Inc.

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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ADA Accommodation Specialist

PRIMARY PURPOSE:  To enhance the ADA process for claimants requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate restrictions as required under the ADAAA, state and/or client requirements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Reviews medical information for ADAAA temporary and permanent accommodation requests.
• Approves and/or negotiates accommodations as written; renegotiates reasonable alternative accommodations, or denies restrictions based on lack of supporting documentation through correspondence with physician, colleague, department and other key stakeholders.
• Maintains regular contact with colleagues, supervisors, health care providers, and other key stakeholders regarding progress and status of accommodations; assists in the resolution of any challenges related to the accommodations.
• Conducts interactive discussions with claimants and employers, assists in answering/resolving any follow-up questions/issues and helps identify clarifications, when needed, from health care providers.
• Acts as a subject matter expert and resource to supervisors, colleagues, union, or physicians regarding accommodation/work restriction issues and processes.  Provides advice and counsel as appropriate and acts as a liaison between all parties when necessary.
• Ascertains the specific physical tolerances and vocational skills needed for particular employment positions; makes decisions or assists case management staff in making decisions regarding a client's competence in performing a particular position.
• Adheres to all medical and legal regulations and accreditation standards.
• Reviews the essential job functions provided by the employer along with restrictions/limitations provided by the claimant and their treating provider to confirm the claimant can meet the essential functions with or without the accommodation(s) requested.
• Contacts employers to obtain specific information regarding an area of employment, i.e., training or education needed, physical demands, wages and benefits, and availability.
• Thoroughly reviews contested claims.
• Assists as needed with submission of accommodation recommendations to employers for consideration.
• Works closely with other members of team to:  a) ensure smooth transition from medical case management into job placement; and/or b) discuss the progress on each case suggesting changes in rehabilitation plans.
• Documents contacts in claim notes; prepares reports and/or forms documenting the results of research/negotiations performed; and tracks disposition decisions.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university in nursing, social work or vocational rehabilitation is preferred.  At least one of the following licenses or certifications is required:  RN or CRC. Experience
Four (4) years of related experience or equivalent combination of experience and education required.  Medical disability or vocational rehabilitation 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
• 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/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.

#nurse

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.