工伤理赔代表 | 专属客户 | 远程办公
Workers Compensation Claims Representative | Dedicated Client | Remote
加入Sedgwick，你将参与真正有意义的事业。我们的33,000名同事每天为全球面临意外情况的人们提供帮助。我们邀请你与我们一同成长职业，体验我们关怀的文化，并享受工作与生活的平衡。在这里，你所能实现的没有界限。
Newsweek 将 Sedgwick 评为美国最佳工作场所全国顶级公司
获得 Great Place to Work® 认证
财富最佳金融与保险工作场所
工伤赔偿索赔代表 | 专属客户 | 远程办公
你是否正在寻找一个机会，加入一家全球行业领导者，用你的创意帮助一些世界顶级品牌解决问题？
- 在充满活力的文化背景下，运用你的代表知识和经验来处理复杂的客户索赔。
- 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，以卓越和客户服务著称。
- 利用Sedgwick广泛的全球专家网络，既学习也分享你的见解。
- 利用各种职业发展机会，帮助你发挥最佳表现并提升你的职业生涯。
- 在日常工作中、地点和职业路径上享有灵活性和自主权。
- 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、成长意识和包容性的积极进取者。
职位主要职责：代表我们重要的客户分析工伤赔偿损失时间索赔，确定应得福利，同时确保在服务期望、行业最佳实践和特定客户服务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，分析和处理索赔，以确定索赔的风险。
- 在授权范围内协商解决索赔。
- 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
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
Workers Compensation Claims Representative | Dedicated Client | RemoteAre 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?
- Apply your representative knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
- 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.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- 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 Lost-Time 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.
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: 1 year of claims management experience or equivalent combination of education and experience required.
Jurisdiction Knowledge: WV preferred
Licensing: not required
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- 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
- Auditory/Visual: Hearing, vision and talking
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (58,000 - 63,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
#claimsexaminer #claims
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