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About the Role

Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

Responsibilities

Analyze medical only claims on behalf of clients to determine benefits due.
Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Negotiate settlement of claims within designated authority.
Communicate claim activity and processing with the claimant and the client.
Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Requirements

2 years of claims management experience or equivalent combination of education and experience required.
Jurisdiction Knowledge: Southeast and Northeast states.
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.
Ability to meet deadlines.
Computer keyboarding.
Travel as required.
Hearing, vision and talking.

Skills

Empathy
Accountability
Collaboration
Growth
Inclusion

Location

Multi State

Work Type

Hybrid
Remote

Experience Level

2 years

Education Level

High School Diploma or GED required
Bachelor's degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred

Salary/Compensations

$19.00-$28.00 per hour USD

Benefits

Medical
Dental
Vision
401K on day one
Referral incentive program
Career development and promotional growth opportunities
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits

About the Company

Sedgwick is a global industry leader.
Sedgwick is known for its excellence and customer service.
Sedgwick has a broad, global network of experts.
Sedgwick is building a diverse, equitable, and inclusive workplace.

Equal Opportunity

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.