
10,000+ employees
🏗️ Construction
đź’Ľ 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.
🔥 15 hours ago
🇺🇸 United States – Remote
⏰ Full Time
🟡 Mid-level
đźź Senior
đź’Ľ Consultant
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10,000+ employees
🏗️ Construction
đź’Ľ 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.
• Manage a claim caseload ranging from basic to highly complex claims within granted authority levels, including 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 • 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 for assigned claims • Review client files and collaborate with the team on file strategies, claim 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 accurate, timely state-required documentation • Monitor reports and document compliance with jurisdictional requirements such as EDI and benefit-payment timeliness • Assist the Team Lead with tracking team tasks and projects • Review and timely submit SAS/SOX documents • Assist with takeover and reverse takeover projects and ensure appropriate claim-file transfer and handling • Support organizational quality programs • Perform other assigned duties
• Bachelor's degree from an accredited college or university preferred • State adjuster licenses required • Six (6) years of related experience and/or training or equivalent combination of education and experience required • Thorough legal and jurisdictional knowledge based on line of business • Strong oral and written communication, including presentation skills • PC literacy, 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
• Work-life balance • Caring culture • Opportunities for career growth • Reasonable accommodations when applicable and appropriate • Equal opportunity workplace • Drug-free workplace
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