Job Description
This position serves as a liaison between the employer, employee, and treating physician to get the employee back to work at their full capabilities as quickly as possible. This results in lower out of work days and other associated positive outcomes on the Workplace Accommodation claims.
The Workplace Accommodation Coordinator is responsible for managing the release information from doctor’s appointments and resulting work statuses resulting from a Workplace Accommodation claim following written guidelines and procedures pursuant to ADA, State, and/or client requirements. This empowers Workplace Accommodation Coordinators to optimize their time and clearly measure the outcomes of their work.
Responsibilities
- Assists in facilitating light duty accommodations and assisting employees in transitioning to full duty and provides alternative work solutions if unable to return to light or full duty.
- Reviews claim data with clients using various reports and tools to articulate, administer, and manage processes for updating claims across systems.
- Collaborates with technical operations to maintain and update the business requirements for enhancing the tools leveraged in the RTW service model.
- Serves as a liaison between the employer, employee, and treating physician to facilitate workplace accommodations. This results in lower out of workdays and other associated positive outcomes on the claim.
Qualifications
- High School Diploma/GED
- 2 + years of STD/LTD claims adjudication.
- Experienced in the TPA or self-administration services is desired
- Experience with FMLA/State leave claims is a plus
- Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations
- Ability to work independently while assimilating various technical resources
- Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
- Effective interpersonal skills capable of dealing with external sources and all levels of employees.
- Strong ability to identify, analyze and solve problems.
- Capable of quickly learning new tools.
- Experience with excel at least at a beginner level is required.
- Ability to interpret and manipulate tables of data to draw conclusions and identify trends.
- Excellent logic; creative and critical thinking skills; solutions-focused.
- Excellent oral and written communication.
- Highly organized thinking, writing, and presenting so that key points are delivered powerfully and clearly.
- Ability to work in a team environment.
- Related experience in claim services preferred
- Excellent oral and written communication skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Good negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Internal: Client Services, Sales, Claim Operations, Consultative Analytics
- External: Risk Management, Safety, Finance, Human Resources
- Receives and reviews accommodation requests
- Conducts initial employee interview per process guidelines.
- Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and/or claims system.
- Reviews medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition.
- Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements. Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and/or client-specific process provisions.
- Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews where applicable.
- Maintains professional client relationships.
- Supports the organization's quality program(s).
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About Us
Why Crawford?
Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family.
Our total compensation plans provide each of our employees with far more than just a great salary
- Pay and incentive plans that recognize performance excellence
- Benefit programs that empower financial, physical, and mental wellness
- Training programs that promote continuous learning and career progression while enhancing job performance
- Sustainability programs that give back to the communities in which we live and work
- A culture of respect, collaboration, entrepreneurial spirit and inclusion
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.
