索赔调解员 - 工伤赔偿 | 管辖地 - 北卡罗来纳州 | 资质：北卡罗来纳州
Claims Adjuster - Workers Compensation | Jurisdiction - NC | Licensing: NC -
加入Sedgwick，你将参与真正有意义的事业。我们的33,000名同事每天都在为全球面临意外的人们提供帮助。我们邀请你与我们一同成长，体验我们的关怀文化，并享受工作与生活的平衡。在这里，你所能实现的没有界限。
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理赔专员 - 工伤赔偿 | 管辖地 - 北卡罗来纳州 | 资质：北卡罗来纳州 - （远程办公，必须居住在北卡罗来纳州）
你是否正在寻找一个机会，加入一家全球行业领袖，用你的创意帮助解决一些世界顶级品牌的难题？
- 为几乎涵盖所有行业的客户以及一些世界上最受尊敬的组织提供创新的客户解决方案。
- 成为一家快速成长、行业领先的全球公司的成员，这家公司以卓越和客户服务著称。
- 利用Sedgwick广泛的全球专家网络，既学习又分享你的见解。
- 获得多样且全面的福利，照顾你的心理健康、身体健康、财务状况和职业发展需求。
你是否是理想的候选人？我们寻找的是践行我们关怀文化并具备同理心、责任感、协作精神、成长意识和包容性核心价值观的积极进取者。
职位主要职责
代表我们尊贵的客户分析工伤赔偿索赔，确定应支付的福利，同时确保在服务期望、行业最佳实践和特定客户要求范围内持续处理索赔。
关键职责可能包括
- 通过制定完善的行动计划，及时调查和收集信息，以确定索赔的风险，从而对索赔进行分析和处理。
- 在授权范围内协商索赔的和解。
- 与索赔人和客户沟通索赔活动和处理情况。
- 向超额承保人报告索赔，并以专业且及时的方式回应指示请求。
- 需要能够前往听证会，但出席听证会的频率较低。
资格要求
教育与资质：需高中文凭或同等学历。来自认可大学或学院的学士学位优先。
查看英文原文
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims Adjuster - Workers Compensation | Jurisdiction - NC | Licensing: NC - (Remote, Must Reside in NC)Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiating settlement of claims within designated authority.
- Communicating claim activity and processing with the claimant and the client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
- Ability to travel to hearings as needed is required; however, hearing attendance is infrequent.
QUALIFICATIONS
Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience: 4 years of claims management experience or equivalent combination of education and experience required.
Licensing / Jurisdiction Knowledge: NC required
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTSINCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, 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
#claimsexaminer #claims #hybrid
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.
Originally posted on Himalayas