Senior Account Consultant

🔥 16 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 1 day.
• Jobs at this company usually fill in 21 days.
• No salary listed.

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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 • Manage related financial implications of assigned claims • Utilize special account instructions to obtain customer information and adhere to instructions • Identify, initiate, 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 • Communicate effectively and timely • Mentor and coach account representatives and account specialists • 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 and state or jurisdictional law in claim handling • Assess indemnity, medical, and expense exposure and apply insurance coverage appropriately • 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 best possible outcomes • Compile requirements to prevent penalties and fines • Monitor reports and document compliance with jurisdictional requirements, including EDI and benefit-payment timeliness • Assist the Team Lead in tracking team tasks and projects • Review and submit SAS/SOX documents timely • Assist with takeover and reverse takeover projects and ensure appropriate claim-file transfers • Perform other duties as assigned • Support the organization's 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

🏖️ Benefits

• Work-life balance • Caring culture • Career growth opportunities • Reasonable accommodations when applicable and appropriate • Equal opportunity employer • Drug-free workplace

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