工伤索赔审查员-东南地区（佛罗里达州、佐治亚州、北卡罗来纳州、南卡罗来纳州、阿拉巴马州、阿肯色州、肯塔基州）
Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY)
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，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 评为美国最佳职场全国顶级公司
被认证为 Great Place to Work®
财富最佳金融与保险行业职场
理赔专员 - 工伤保险 | 管辖范围：东南各州 | 资质要求：需持有佛罗里达州或常住州执照 - 远程办公
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，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、地点选择和职业路径上享受灵活性和自主性。
你是否是理想的候选人？我们寻找那些体现我们关怀文化模型和核心价值观的人，包括同理心、责任感、协作、成长和包容。
职位主要职责：代表我们的客户分析理赔，确定应得福利，同时确保理赔持续处理符合服务期望、行业最佳实践和特定客户的服务要求。
关键职责可能包括：
· 通过完善的行动计划分析和处理理赔，调查并收集信息以确定理赔风险，及时妥善解决。
- 在授权范围内协商理赔和解。
- 与理赔人和客户沟通理赔活动和处理情况。
- 向超额承保人报告理赔，并专业且及时地回应方向请求。
资历要求
教育与资质：需要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。专业
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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 Examiner - Workers Compensation | Jurisdiction: Southeast States | Licensing: FL or home state required - 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?
· 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.
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 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: 5 years of claims management experience or equivalent combination of education and experience required.
Licensing : FL or home state required
Jurisdiction Knowledge: FL, GA, NC, SC, AL, AR, KY
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, travel as required
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 (65k-81k). 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 #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