Utilization Review Coordinator

PRIMARY PURPOSE OF THE ROLE

To provide excellent customer service and internal support to an assigned team.

• Accesses, triages and assigns cases for utilization review (UR).
• Responds to telephone inquiries proving accurate information and triage as necessary.
• Enters demographics and UR information into claims or clinical management system; maintains data integrity.
• Obtains all necessary information required for UR processing from internal and external sources per policies and procedures.
• Distributes incoming and outgoing correspondence, faxes and mail; uploads review documents into paperless system as necessary.
• Supports other units as needed.

• Education & Licensing:
  High school diploma or GED required.
• Skills:
  
  Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required.
• Experience:
  
  Clerical or customer service experience or equivalent combination of education and experience preferred.

For the jurisdiction noted in this job posting only, the range of starting pay for this role is $18.00 - $20.00/hr 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. Additional benefits include a flexible work schedule, a referral incentive program, opportunity to work in an agile environment, and career development and promotional growth opportunities.

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