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Consumer Care Advocate

🔥 1 hour ago

🌲 North Carolina, Texas – Remote

infoinfo

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

Where this job comes from

Posted on Sedgwick's careers page, not through a job board

First seen by Remote Rocketship 1 hour ago

Logo of Sedgwick

Sedgwick

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

• Provide high quality service to internal and external customers, delivering an easy and efficient customer experience for routine lost time • Process incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving claims-related questions and issues according to guidelines and policies • Communicate claims status and current claim activity with clients and appropriate medical contacts • Respond to inquiries about jurisdiction- and claim-specific issues • Enter data into claims systems and ensure claim files are properly documented and claims coding is correct • Coordinate claimant address updates or changes with internal departments • Provide referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate • Coordinate independent medical examinations • Support the organization's quality programs • Perform 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 • Ability to handle work-related stress • Ability to handle multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Travel as required

🏖️ Benefits

• Work-life balance • Caring culture • Equal Opportunity Employer • Drug-Free Workplace

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