Account Consultant

🔥 6 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Manage a claim caseload ranging from basic to highly complex claims within granted authority levels, including related financial implications • Mentor and coach Account Representatives and Account Specialists • Use special account instructions to obtain customer information and coordinate specialized services such as subrogation, fraud evaluation, and case management review • Establish and maintain effective relationships with internal and external customers and coworkers • Facilitate round table discussions within the assigned team • Investigate, evaluate, and resolve claims • Identify potential problems and trends in claim files and take corrective action or make recommendations • Interpret medical reports, state law, jurisdictional law, and insurance coverage • Assess indemnity, medical, and expense exposure of assigned claims • Review client files and collaborate with the team on file strategies, claims status, and emerging trends • Proactively manage litigation with clients and legal representatives • Minimize financial liability and ensure compliance and favorable outcomes • Compile requirements and ensure state-required documentation is issued accurately and timely • Monitor compliance reports and jurisdictional requirements, including EDI and benefit-payment timeliness • Assist the Team Lead with tracking team tasks and projects • Review SAS/SOX documents and submit them timely • Assist with takeover and reverse takeover projects and ensure appropriate claim-file transfer and handling • Perform other assigned duties • Support organizational quality programs

🎯 Requirements

• State adjuster licenses required • Six (6) years of related experience and/or training or equivalent combination of education and experience required • Bachelor's degree from an accredited college or university preferred • Thorough legal and jurisdictional knowledge based on line of business • Strong oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Strong customer service skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies • Ability to handle work-related stress and multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Travel as required

🏖️ Benefits

• Work-life balance • Reasonable accommodations when applicable and appropriate • Equal Opportunity Employer • Drug-Free Workplace