工伤赔偿理赔员 | MO & 旷工经验 | FL司法管辖区
Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdicti
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。我们邀请你与我们共同成长，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
被认证为卓越工作场所®
财富最佳金融服务与保险工作场所
工伤理赔专员 | 密苏里州及失能经验 | 佛罗里达州管辖范围及佛罗里达州执照 | 专属客户
- 专属客户
- 有限案件数量
- 佛罗里达州管辖范围及佛罗里达州执照
- 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，让你的大胆想法帮助解决一些世界顶级品牌的难题？
- 在充满活力的文化背景下，运用你的知识和经验处理复杂的客户索赔。
- 为几乎涵盖所有行业的客户交付创新的面向客户的解决方案，这些客户包括一些世界上最受尊敬的组织。
- 成为一家快速发展的、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、地点以及职业路径上享受灵活性和自主性。
- 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？我们寻找的是那些体现我们关怀文化模型和核心价值观的积极进取的个人，包括同理心、责任感、协作、成长和包容。
主要职责：分析中高级工伤索赔，确定应支付的福利；确保在公司标准和行业最佳实践范围内持续处理索赔；识别索赔的代位权并协商和解。
关键职能和职责
- 管理工伤索赔，确定长期赔偿金索赔的可补偿性和应支付的福利，监控准备金准确性，并向州机构提交必要的文件。
- 制定并管理工伤索赔的行动计划以达成解决，协调返岗
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 Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client
· DEDICATED CLIENT
- CAPPED CASELOADS
- FL JURISDICTION & FL LICENSE
- 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?
- Apply your 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:To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
- Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred; Home state license required
Experience:
1 - 2 years of claims management experience
Prior handling of FL med only & indemnity claims
Jurisdiction Knowledge: FL
Licensing: FL
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
- Auditory/Visual: Hearing, vision and talking
#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