Claims Representative job opportunity at Sedgwick.

Home Jobs In United States Of America Tag: Job Claims Representative position at Sedgwick


DatePosted Yesterday bot
Sedgwick Claims Representative
Experience: General
Pattern: full-time
Country:
apply Apply Now
Salary:
Status:

Job

Copy Link Report
degreeBachelor's (B.A.)
loacation Las Vegas, NV, United States Of America
loacation Las Vegas, NV....United States Of America

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative PRIMARY PURPOSE : To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. Administers subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships.  ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required. Skills & Knowledge Developing knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Service Expectations 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 NOTE : Credit security clearance, confirmed via a background credit check, is required for this position. 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. 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.

Other Ai Matches

Hygienist, Indoor Environmental Specialist Applicants are expected to have a solid experience in handling Indoor Environmental Specialist related tasks
AI Product Lead Applicants are expected to have a solid experience in handling Job related tasks
Workforce Absence Team Lead Applicants are expected to have a solid experience in handling Job related tasks
Home Desktop Investigator Applicants are expected to have a solid experience in handling Job related tasks
Claims Examiner - Workers Compensation | MD, VA, DC, DE exp needed) Applicants are expected to have a solid experience in handling VA, DC, DE exp needed) related tasks
Liability Claims Associate | Blue Ash, OH | Hybrid Schedule Applicants are expected to have a solid experience in handling OH | Hybrid Schedule related tasks
Workers Compensation Claims Examiner | Ontario, California Applicants are expected to have a solid experience in handling California related tasks
Senior projectleider bodemsanering Applicants are expected to have a solid experience in handling Job related tasks
UL Careers Fair - Attendance Application Applicants are expected to have a solid experience in handling Job related tasks
Liability Claims Associate | Blue Ash, OH | Hybrid Schedule Applicants are expected to have a solid experience in handling OH | Hybrid Schedule related tasks
INT- National Marine adjuster Applicants are expected to have a solid experience in handling Job related tasks
Sr. Claims Specialist, Professional Liability | Medical Malpractice | State of Louisiana Applicants are expected to have a solid experience in handling Professional Liability | Medical Malpractice | State of Louisiana related tasks
Field Staff Auto Appraiser Applicants are expected to have a solid experience in handling Job related tasks
Junior UX Prototype Specialist Applicants are expected to have a solid experience in handling Job related tasks
Senior Loss Adjuster Applicants are expected to have a solid experience in handling Job related tasks
Loss Adjusters (Melaka) Applicants are expected to have a solid experience in handling Job related tasks
Paralegal Applicants are expected to have a solid experience in handling Job related tasks
Commercial Property Claims Desk Adjuster - Remote after training Applicants are expected to have a solid experience in handling Job related tasks
IT Manager Applicants are expected to have a solid experience in handling Job related tasks
Loss Adjusters (Bali-based) Applicants are expected to have a solid experience in handling Job related tasks
Adjuster - Multi Line (Casualty/GL/Property) Applicants are expected to have a solid experience in handling Job related tasks
Loss Adjuster (Japan) Applicants are expected to have a solid experience in handling Job related tasks
Assistant Vice President Operations Applicants are expected to have a solid experience in handling Job related tasks