Consumer Care Advocate

🔥 0 minutes ago

🎸 Tennessee, Texas – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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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

• Process incoming calls, faxes, and voicemails from claimants, providers, clients, attorneys, and others • Resolve claims-related questions and issues according to guidelines and policies • Communicate claim status and current claim activity with clients and appropriate medical contacts • Respond to jurisdiction- and claim-specific inquiries • Enter data into claims systems • 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 teams • 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 multiple priorities simultaneously and meet deadlines

🏖️ Benefits

• Work-life balance • Reasonable accommodations when applicable and appropriate • Equal opportunity workplace • Drug-free workplace

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