索赔审查员-工伤赔偿 | 管辖范围：多州 | 资质：
Claims Examiner - Workers Compensation | Jurisdiction: Multi State | Licensing:
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，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
被认证为“最佳工作场所®”
财富最佳金融服务与保险工作场所
理赔审查员 - 工伤赔偿 | 管辖范围：多州 | 资质：德克萨斯州/佛罗里达州或常住州优先（远程）
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？
- 成为一家快速成长、行业领先的全球公司的一员，以卓越和客户服务著称。
- 利用Sedgwick广泛的全球专家网络，向他们学习并分享你的见解。
- 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、地点以及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？我们寻找那些体现我们关怀计数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
分析复杂或技术性困难的工伤赔偿索赔，确定应得的福利；处理涉及诉讼和康复的高风险索赔；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审理索赔；识别索赔的代位求偿并协商和解。
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。
- 在授权范围内协商索赔和解。
- 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，并以专业和及时的方式回应指示请求。
资格要求
教育与资质：高中及以上学历
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 Examiner - Workers Compensation | Jurisdiction: Multi State | Licensing: TX/FL or Home State preferred (Remote)
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?
- 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 ROLETo analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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: 5years of claims management experience or equivalent combination of education and experience required.
Licensing / Jurisdiction Knowledge: Multi state, TX/FL or Home State preferred
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
#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