Account Consultant- 1st Party Property Claims Experience Required **Sedgwick** 1 Positions ID: R53990 Posted On 09/23/2024 **Job Overview** Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Account Consultant- 1st Party Property Claims Experience Required **PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor Account Representatives and Account Specialists. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Utilizes special account instructions to obtain individual customer information and adhere to instructions; identifies, initiates, and coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims. + Establishes and maintains effective relationship with internal and external customers and coworkers; communicates effectively and timely. + Mentors/coaches account representatives and account specialists; facilitates round table discussions within the assigned team. + Investigates, evaluates and resolves claims; identifies potential problems/trends in claim files and takes corrective action or makes corrective recommendations; interprets medical reports and state law or jurisdictional law in claim handling. + Applies jurisdictional and medical knowledge to properly assess the indemnity, medical and expense exposure of assigned claims and appropriately interprets and applies insurance coverage. + Reviews client files and collaborates with team to prepare information which includes thorough analysis of file strategies, claims status and emerging trends. + Proactively manages litigation in conjunction with client requirements; works constructively with client and legal representatives to resolve claims. + Ensures compliance and best possible outcomes by minimizing financial liability. + Compiles requirements in order to prevent penalties and fines; utilizes instructions and tools provided to ensure that all state required documentation is issued accurately and in timely manner in accordance with specific jurisdictional timeframes and guidelines. + Monitors reports as assigned and documents compliance with key jurisdictional requirements (i.e. EDI, timeliness of benefit payments, etc.); assists Team Lead in tracking completion of team’s tasks and projects; reviews SAS/SOX documents and submits in timely manner; and assists with takeover and reverse takeover projects ensuring that claim files are transferred and handled appropriately. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. State adjuster licenses required. **Experience** Six (6) years of related experience and/or training or equivalent combination of education and experience required. **Skills & Knowledge** + 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 **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** Primary Contact 1645458383738 Amanda Strothman , Phone Phone Phone Fax amanda.strothman@sedgwick.com Email True False True **Job Details** Categories Insurance Technical Location Dubuque, IA Job Type Employee Full/Part Full Time Company ID 8326 Job REQ # R53990 \# Positions 1 Start Date 20240923 End Date 20241029 Featured Job TH Ad TH Comments **Similar Jobs** Account Executive (Sales) Kunkel & Associates, Inc. Account Executive (Sales) Kunkel & Associates, Inc. Account Manager Cottingham & Butler/ SISCO Claims Administrator Cottingham & Butler/ SISCO Employee Benefits Client Consultant Cottingham & Butler/ SISCO Experienced Sales Executive - Employee Benefits Cottingham & Butler/ SISCO Experienced Sales Executive - Risk Management Cottingham & Butler/ SISCO Experienced Sales Executive - Transportation Cottingham & Butler/ SISCO Sales Executive - Casualty Claims (Fully Remote) Cottingham & Butler/ SISCO Claims Adjuster - Liability Sedgwick **Share this Job** Sedgwick **About the Company** **Career Development** Our goal is to make Sedgwick CMS a place where great people can do great things for our clients. This commitment is evidenced by our colleague development program and supported by our multi-dimensional learning resources. We invest in the education of our colleagues by providing training and learning resources that focus on our culture, procedures, systems and performance expectations. We evaluate the educational needs of our colleagues through performance discussions and evaluations. These needs are filled either through Sedgwick CMS University and through industry certification programs and other external educational resources . Sedgwick CMS University curriculum offerings take colleagues from orientation to technical training to supervisory and managerial development. Through Sedgwick CMS University, we provide our colleagues continuous development of professional skills and the ability to deliver quality service to our clients. **Colleague Orientation** We offer a required colleague orientation program that allows us to verify and document the training provided to new colleagues. This program is called Personal Responsibility in Developing Excellence (PRIDE) and is the first component of our comprehensive career development process. This program introduces and orients new and transitioning colleagues to our company and to their new position. PRIDE will take colleagues through the first 90 days of their new position. Objectives of this program focus on providing colleagues an increased awareness of who we are, where we are going, and how they can help us get there. **Career Paths** Career path options are identified through an ongoing process of discussion and collaboration between colleagues and their managers. On an ongoing basis, our managers counsel colleagues regarding their career path, new opportunities, and additional training and development requirements to help them reach their individual goals.