Workplace Accommodation Coordinator ( Remotw) Work anywhere in the US.Role Overview:Serve as a key liaison between employers, employees, and treating physicians to support safe and timely return-to-work outcomes.
Key Responsibilities Coordinate communication between employee, employer, and physician
Manage medical release information and work status updates
⚖️ Ensure compliance with ADA, state, and client requirements
⏱️ Reduce time away from work and improve claim outcomes
Track and measure results using established guidelines and procedures
Impact✅ Faster return-to-work
✅ Fewer lost workdays
✅ Positive outcomes on Workplace Accommodation claims
Bring your energy, expertise, and ambition. Apply now and let's make success happen together!- 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).
#LI-DV1
- 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.