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Consumer Care Advocate, Part-time

Job not on LinkedIn

🔥 1 hour ago

🎸 Tennessee – Remote

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⏱ Part Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Sedgwick

Sedgwick

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.

đź“‹ Description

• Provide high quality service to both internal and external customers • Processes incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies • Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues • Enters data into claims system(s) and ensures claim files are properly documented and claims coding is correct • Coordinates claimant address updates or changes with internal departments • Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations • Performs other duties as assigned

🎯 Requirements

• High school diploma or GED required • Associate’s degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred • Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required • Excellent oral and written communication skills • PC literate, including Microsoft Office products • Strong investigation and organizational skills • Good interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies

🏖️ Benefits

• Health insurance • Flexible work arrangements • Work-life balance

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