Company Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Miami, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Disability Clinical Specialist - Sedgwick
Posted: Sep 28, 2024 04:59
Miami, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Disability Clinical Specialist

PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.

  • Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.

  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress and work status.

  • Achieves appropriate quality audit scores on a consistent basis.

  • Acts as clinical resource to colleagues within the program.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

  • Ability to meet or exceed Performance Competencies

  • Ability to work in a team environment

  • Excellent interpersonal skills

  • Strong organizational skills

  • Analytical and interpretive skills

  • PC literate, including Microsoft Office products

  • Oral and written communication, including presentation skills

  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)

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.

QUALIFICATIONS

Education & Licensing

  • Bachelor's degree or equivalent preferred.

  • RN or CRC preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.

Experience

  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Greensboro, NC

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Claims Examiner Workers Compensation - (Telecommuter) - Sedgwick
Posted: Sep 28, 2024 04:59
San Francisco, CA

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Claims Examiner Workers Compensation - (Telecommuter)

LOCATION: Telecommuter in California only

PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

  • Negotiates settlement of claims within designated authority.

  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.

  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.

  • Prepares necessary state fillings within statutory limits.

  • Manages the litigation process; ensures timely and cost effective claims resolution.

  • Coordinates vendor referrals for additional investigation and/or litigation management.

  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.

  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.

  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.

  • Ensures claim files are properly documented and claims coding is correct.

  • Refers cases as appropriate to supervisor and management.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

QUALIFICATION

Education & Licensing

Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience

Five (5) years of claims management experience or equivalent combination of education and experience required.

Skills & Knowledge

  • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures 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

  • Excellent negotiation 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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $75,000 - $100,000 per year . 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.

#LI-DV1

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Disability Clinical Specialist - Sedgwick
Posted: Sep 28, 2024 04:59
Tampa, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Disability Clinical Specialist

PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.

  • Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.

  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress and work status.

  • Achieves appropriate quality audit scores on a consistent basis.

  • Acts as clinical resource to colleagues within the program.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

  • Ability to meet or exceed Performance Competencies

  • Ability to work in a team environment

  • Excellent interpersonal skills

  • Strong organizational skills

  • Analytical and interpretive skills

  • PC literate, including Microsoft Office products

  • Oral and written communication, including presentation skills

  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)

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.

QUALIFICATIONS

Education & Licensing

  • Bachelor's degree or equivalent preferred.

  • RN or CRC preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.

Experience

  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Tampa, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Fayetteville, NC

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Memphis, TN

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Disability Clinical Specialist - Sedgwick
Posted: Sep 28, 2024 04:59
Orlando, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Disability Clinical Specialist

PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.

  • Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.

  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress and work status.

  • Achieves appropriate quality audit scores on a consistent basis.

  • Acts as clinical resource to colleagues within the program.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

  • Ability to meet or exceed Performance Competencies

  • Ability to work in a team environment

  • Excellent interpersonal skills

  • Strong organizational skills

  • Analytical and interpretive skills

  • PC literate, including Microsoft Office products

  • Oral and written communication, including presentation skills

  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)

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.

QUALIFICATIONS

Education & Licensing

  • Bachelor's degree or equivalent preferred.

  • RN or CRC preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.

Experience

  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Orlando, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Raleigh, NC

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Disability Clinical Specialist - Sedgwick
Posted: Sep 28, 2024 04:59
Toledo, OH

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Disability Clinical Specialist

PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.

  • Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.

  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress and work status.

  • Achieves appropriate quality audit scores on a consistent basis.

  • Acts as clinical resource to colleagues within the program.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

  • Ability to meet or exceed Performance Competencies

  • Ability to work in a team environment

  • Excellent interpersonal skills

  • Strong organizational skills

  • Analytical and interpretive skills

  • PC literate, including Microsoft Office products

  • Oral and written communication, including presentation skills

  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)

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.

QUALIFICATIONS

Education & Licensing

  • Bachelor's degree or equivalent preferred.

  • RN or CRC preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.

Experience

  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Disability Clinical Specialist - Sedgwick
Posted: Sep 28, 2024 04:59
Dayton, OH

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Disability Clinical Specialist

PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.

  • Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.

  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress and work status.

  • Achieves appropriate quality audit scores on a consistent basis.

  • Acts as clinical resource to colleagues within the program.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

  • Ability to meet or exceed Performance Competencies

  • Ability to work in a team environment

  • Excellent interpersonal skills

  • Strong organizational skills

  • Analytical and interpretive skills

  • PC literate, including Microsoft Office products

  • Oral and written communication, including presentation skills

  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)

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.

QUALIFICATIONS

Education & Licensing

  • Bachelor's degree or equivalent preferred.

  • RN or CRC preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.

Experience

  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Disability Clinical Specialist - Sedgwick
Posted: Sep 28, 2024 04:59
Columbus, OH

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Disability Clinical Specialist

PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.

  • Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.

  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress and work status.

  • Achieves appropriate quality audit scores on a consistent basis.

  • Acts as clinical resource to colleagues within the program.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

  • Ability to meet or exceed Performance Competencies

  • Ability to work in a team environment

  • Excellent interpersonal skills

  • Strong organizational skills

  • Analytical and interpretive skills

  • PC literate, including Microsoft Office products

  • Oral and written communication, including presentation skills

  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)

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.

QUALIFICATIONS

Education & Licensing

  • Bachelor's degree or equivalent preferred.

  • RN or CRC preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.

Experience

  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Tallahassee, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Disability Clinical Specialist - Sedgwick
Posted: Sep 28, 2024 04:59
Tallahassee, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Disability Clinical Specialist

PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.

  • Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.

  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress and work status.

  • Achieves appropriate quality audit scores on a consistent basis.

  • Acts as clinical resource to colleagues within the program.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

  • Ability to meet or exceed Performance Competencies

  • Ability to work in a team environment

  • Excellent interpersonal skills

  • Strong organizational skills

  • Analytical and interpretive skills

  • PC literate, including Microsoft Office products

  • Oral and written communication, including presentation skills

  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)

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.

QUALIFICATIONS

Education & Licensing

  • Bachelor's degree or equivalent preferred.

  • RN or CRC preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.

Experience

  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:59
Nashville, TN

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Medical Bill Processor - Sedgwick
Posted: Sep 28, 2024 04:58
Cleveland, OH

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Medical Bill Processor

PRIMARY PURPOSE : To code provider bills; to enter pre-coded billing data into the system; and to verify the output.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Keys pre-coded billing data into the system.

  • Identifies and forwards complex bills to claims examiners.

  • Codes provider bills in accordance with claims management system notes and state guidelines.

  • Follows workers compensation/auto guidelines to evaluate the services.

  • Compares qualifications of service provider with service provided.

  • Involved in system maintenance/file maintenance and interface with IT department.

  • Assists in account batching and distribution of incoming and outgoing mail.

  • Answers customer service calls from providers, clients and claims examiners.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

High School diploma or GED required.

Experience

One (1) year of general office experience or equivalent combination of education and experience required. Knowledge of medical terminology preferred.

Skills & Knowledge

  • Excellent oral and written communication

  • 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 Performance Competencies

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

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

VP IT Client Executive - Sedgwick
Posted: Sep 28, 2024 04:58
Cleveland, OH

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

VP IT Client Executive

PRIMARY PURPOSE : Establishes and maintains a relationship between IT and the client, and improves client satisfaction, IT delivery and quality from IT assets, investments, and capabilities. The VP IT Client Executive is responsible for understanding the client needs, assisting in the prioritization of projects, ensuring that projects align with the technology that provides maximum return on investment, and supporting IT teams in client specific deliveries.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Develops and manages the relationship between client and IT, driving delivery and quality to enhance value to the client.

  • Ensures operations, client, and IT understand the technology solution, overall solution delivery, and compliance to governance processes and architecture standards.

  • Guides stakeholders in prioritizing submitted projects and works with stakeholders and project teams to prioritize requirements; responsible to approve/sign-off on work items and time schedules to ensure deliverables are met.

  • Manages the design development and deployment of client requirements.

  • Coordinates application project delivery across business units in collaboration with other business units.

  • Enables and drives a proactive client dialogue and an approach that is focused on maintaining a service, delivering value; maintains regular communications with clients discuss issues, policies and practices.

  • Manages project teams and working groups as needed; identifies requirements, chairs meetings, sets objectives, goals, and timetables; monitors and evaluates the quality, accuracy and outcome of work; monitors and approves work upon completion and ensures deliverables are met.

  • Engages with other IT organizations to research specific topics of interest to a client.

  • Maintains an awareness of current and proposed technology issues and concerns.

  • Looks for opportunities to leverage technology to achieve client objectives.

  • Represents Sedgwick at internal and external meetings, working groups, committees, discussions and meetings.

  • Drives outcomes with vendor and support staff that may be called in to resolve product support issues.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

  • Travels as required.

QUALIFICATIONS

Education & Licensing

Bachelor's degree in information technology or a related field from an accredited college or university preferred.

Experience

Ten (10) years of related experience or equivalent combination of education and experience required. Strong understanding of the Workforce Absence business is highly preferred.

Skills & Knowledge

  • Thorough knowledge of systems and development

  • Ability to lead technology driven teams and projects

  • In-depth understanding of disability and leave

  • Excellent oral and written communication skills, including presentation skills

  • PC literate, including Microsoft Office products

  • Analytical and interpretive skills

  • Strong time management and organizational skills

  • Excellent interpersonal skills

  • Proven management/leadership skills

  • Excellent negotiating skills

  • Ability to create and complete comprehensive, accurate and constructive written reports

  • Ability to work in a team environment

  • Ability to meet or exceed Performance Competencies

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

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:58
Jacksonville, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Disability Clinical Specialist - Sedgwick
Posted: Sep 28, 2024 04:58
Jacksonville, FL

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Disability Clinical Specialist

PRIMARY PURPOSE : To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability.

  • Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.

  • Makes timely, appropriate contact with employee and/or providers to discuss employee's clinical status, progress and work status.

  • Achieves appropriate quality audit scores on a consistent basis.

  • Acts as clinical resource to colleagues within the program.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

  • Ability to meet or exceed Performance Competencies

  • Ability to work in a team environment

  • Excellent interpersonal skills

  • Strong organizational skills

  • Analytical and interpretive skills

  • PC literate, including Microsoft Office products

  • Oral and written communication, including presentation skills

  • Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)

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.

QUALIFICATIONS

Education & Licensing

  • Bachelor's degree or equivalent preferred.

  • RN or CRC preferred. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.

Experience

  • Four (4) years of related experience or equivalent combination of education and experience required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance experience.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:58
Knoxville, TN

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses - Sedgwick
Posted: Sep 28, 2024 04:58
Columbia, SC

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Experienced CAT Property Desk Adjuster- Must have FL, GA, SC, NC,VA and TN licenses

PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines insurance policies and other records to determine insurance coverage.

  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.

  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.

  • Estimates cost of repair, replacement, or compensation.

  • Prepares report of findings and negotiates settlement with claimant.

  • Recommends litigation by legal department when settlement cannot be negotiated.

  • Attends litigation hearings.

  • Revises case reserves in assigned claims files to cover probable costs.

  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

3 years or more of Property Desk Adjusting Preferred.

Skills & Knowledge

  • Strong oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Demonstrated commitment to timely reporting

  • Strong customer service skills

  • Strong interpersonal skills

  • Attention to detail and accuracy

  • Good time management and organizational skills

  • Ability to work independently or in a team environment

  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

VP IT Client Executive - Sedgwick
Posted: Sep 28, 2024 04:58
Toledo, OH

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

VP IT Client Executive

PRIMARY PURPOSE : Establishes and maintains a relationship between IT and the client, and improves client satisfaction, IT delivery and quality from IT assets, investments, and capabilities. The VP IT Client Executive is responsible for understanding the client needs, assisting in the prioritization of projects, ensuring that projects align with the technology that provides maximum return on investment, and supporting IT teams in client specific deliveries.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Develops and manages the relationship between client and IT, driving delivery and quality to enhance value to the client.

  • Ensures operations, client, and IT understand the technology solution, overall solution delivery, and compliance to governance processes and architecture standards.

  • Guides stakeholders in prioritizing submitted projects and works with stakeholders and project teams to prioritize requirements; responsible to approve/sign-off on work items and time schedules to ensure deliverables are met.

  • Manages the design development and deployment of client requirements.

  • Coordinates application project delivery across business units in collaboration with other business units.

  • Enables and drives a proactive client dialogue and an approach that is focused on maintaining a service, delivering value; maintains regular communications with clients discuss issues, policies and practices.

  • Manages project teams and working groups as needed; identifies requirements, chairs meetings, sets objectives, goals, and timetables; monitors and evaluates the quality, accuracy and outcome of work; monitors and approves work upon completion and ensures deliverables are met.

  • Engages with other IT organizations to research specific topics of interest to a client.

  • Maintains an awareness of current and proposed technology issues and concerns.

  • Looks for opportunities to leverage technology to achieve client objectives.

  • Represents Sedgwick at internal and external meetings, working groups, committees, discussions and meetings.

  • Drives outcomes with vendor and support staff that may be called in to resolve product support issues.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

  • Travels as required.

QUALIFICATIONS

Education & Licensing

Bachelor's degree in information technology or a related field from an accredited college or university preferred.

Experience

Ten (10) years of related experience or equivalent combination of education and experience required. Strong understanding of the Workforce Absence business is highly preferred.

Skills & Knowledge

  • Thorough knowledge of systems and development

  • Ability to lead technology driven teams and projects

  • In-depth understanding of disability and leave

  • Excellent oral and written communication skills, including presentation skills

  • PC literate, including Microsoft Office products

  • Analytical and interpretive skills

  • Strong time management and organizational skills

  • Excellent interpersonal skills

  • Proven management/leadership skills

  • Excellent negotiating skills

  • Ability to create and complete comprehensive, accurate and constructive written reports

  • Ability to work in a team environment

  • Ability to meet or exceed Performance Competencies

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

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail

Medical Bill Processor - Sedgwick
Posted: Sep 28, 2024 04:58
Toledo, OH

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to WorkR

Most Loved WorkplaceR

Forbes Best-in-State Employer

Medical Bill Processor

PRIMARY PURPOSE : To code provider bills; to enter pre-coded billing data into the system; and to verify the output.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Keys pre-coded billing data into the system.

  • Identifies and forwards complex bills to claims examiners.

  • Codes provider bills in accordance with claims management system notes and state guidelines.

  • Follows workers compensation/auto guidelines to evaluate the services.

  • Compares qualifications of service provider with service provided.

  • Involved in system maintenance/file maintenance and interface with IT department.

  • Assists in account batching and distribution of incoming and outgoing mail.

  • Answers customer service calls from providers, clients and claims examiners.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

High School diploma or GED required.

Experience

One (1) year of general office experience or equivalent combination of education and experience required. Knowledge of medical terminology preferred.

Skills & Knowledge

  • Excellent oral and written communication

  • 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 Performance Competencies

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

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)



Job Detail