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.
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PRIMARY PURPOSE: To provide high quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
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.ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.Supports the organization's quality program(s).QUALIFICATIONS
Education & Licensing
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.
Experience
Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.
Skills & Knowledge
Excellent oral and written communication skillsPC literate, including Microsoft Office productsStrong investigation and organizational skillsGood interpersonal skillsAbility to work in a team environmentAbility to meet or exceed Performance Competencies#entrylevelSedgwick 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.