As an ADA Accommodation Coordinator, your primary purpose will be to process claims and determine accommodation options following written guidelines and procedures pursuant to ADA, state and/or client requirements. You will make timely referrals for appropriate disability and federal/state leave of absence eligibility review, and ensure the ongoing processing of claims.

Key responsibilities include:

• Informing claimants of documentation required to process claims, required time frames, and claims status
• Reviewing medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition
• Making claim determinations to approve non-complex ADA claims or making recommendations to team lead to deny claims
• Determining accommodation options and making timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews
• Conducting initial employee interviews and utilizing clinical and vocational resources in case assessments
• Maintaining professional client relationships

Additional responsibilities include:

• Performing other duties as assigned
• Supporting the organization's quality program(s)

To qualify for this role, you will need:

• A high school diploma or GED
• Two years of related experience or equivalent combination of education and experience
• Excellent oral and written communication skills, PC literacy, analytical and interpretive skills, strong organizational skills, and excellent interpersonal skills
• Ability to work in a team environment and meet or exceed Performance Competencies

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

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As a Disability Clinical Specialist, your primary purpose will be to perform standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and complexity.

Responsibilities:

• Perform standard clinical reviews of referred medical claims to ensure accurate and sufficient information is received by employees and providers to support the claim request
• Complete medical reviews of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information substantiates disability
• Communicate clearly and professionally with employees and providers to discuss clinical status, progress, and work status
• Provide clear and appropriate follow-up recommendations for ongoing medical management of claims
• Consistently achieve quality audit scores
• Act as a clinical resource to claims examiners to provide guidance on medical management of claims

Additional Responsibilities:

• Act as a backup for key disability claims on an ad hoc basis
• Perform other duties as assigned
• Travel as required

Qualifications:

• Bachelor's degree or equivalent preferred
• Current RN, LVN, LPN, CRC, COHN CVE, LPC and/or LCSW Licenses required
• Four years of related experience or equivalent combination of experience and education
• Knowledge of current medical practices in healthcare management
• Excellent oral and written communication skills
• Proficient computer skills, including Microsoft Office
• Analytical and interpretive skills
• Strong organisational and multitasking skills
• Excellent interpersonal skills
• Ability to exercise judgement and critical thinking skills

Job Data by YubHub.

We're looking for an ML Architect to partner with stakeholders to identify, scope, and execute advanced analytics and data science projects. You'll design data modeling processes, create algorithms, and predictive models, and share insights that inform and enable business decisions.

Responsibilities:

• Builds, prototypes, and deploys machine learning models in production environments.
• Collaborates with product, technology, and other stakeholders to identify and scope data science projects.
• Communicates modeling challenges, findings, and outcomes to technical and non-technical stakeholders.
• Designs and implements end-to-end ETL data pipelines integrating data from multiple data sources.
• Explores new internal and external data sources and assesses their commercial benefit.
• Mentors team members and serves as a subject matter expert in cross-functional discussions.

Qualifications:

• Master's degree or Ph.D. with major in statistics, mathematics, computer science, data science, economics, or related quantitative field from an accredited college or university preferred.
• Ten (10) years of related experience or equivalent combination of education and experience to include three (3) years of predictive modeling, data science, and analysis experience with solid background in the using data visualization tools and libraries and data exploration, data wrangling, and feature engineering.
• Proficiency writing code in Python or R and documenting for reproducibility.
• Strong knowledge of reviewing other's models and code.
• Ability to use data visualization tools and libraries.
• Strong data exploration, data wrangling and feature engineering skills.
• Knowledge of application of supervised/unsupervised ML techniques.
• Thorough knowledge of SQL to query relational databases.
• Excellent oral and written communication skills, including presentation skills.

Benefits:

• Comprehensive benefits package including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Salary Range: $175,000 - $220,000

Job Data by YubHub.