Sedgwick
Sedgwick
Sedgwick दुनिया भर के संगठनों को प्रौद्योगिकी-सक्षम जोखिम, लाभ और एकीकृत कारोबारी समाधान प्रदान करता है। इसके कार्यों में दुर्घटना, स्वास्थ्य, विकलांगता, बेरोज़गारी मुआवज़े और देयता दावों का प्रबंधन शामिल है। साथ ही, कंपनी परामर्श, फॉरेंसिक लेखांकन, फॉरेंसिक इंजीनियरिंग, संपत्ति बहाली, ब्रांड संरक्षण और हानि-निवारण सेवाएँ विकसित करती है। Sedgwick निर्माण, परामर्श, स्वास्थ्य सेवा, कृषि और पर्यावरणीय सेवाओं सहित विभिन्न उद्योगों में ग्राहकों का समर्थन करता है तथा विविधता, समानता, समावेशन और पर्यावरणीय, सामाजिक एवं शासन संबंधी प्रथाओं पर ध्यान केंद्रित करने की बात करता है।

Claims Examiner I – Workers’ Compensation (Remote, FL/GA/NC/SC)

Handle workers’ compensation claims remotely for Sedgwick, from exposure investigation through adjudication and resolution. The role includes settlement negotiation, claim communications, and reporting to excess carriers.

विवरण

  • Review workers’ compensation claims for clients and determine the benefits payable
  • Manage claim adjudication in line with service standards, industry practices, and client requirements
  • Process claims using action plans designed to achieve timely resolution
  • Investigate claims and collect information to assess exposure
  • Negotiate settlements within assigned authority
  • Keep claimants and clients informed about claim activity and processing
  • Report claims to excess carriers
  • Provide professional, timely responses to requests for direction

आवश्यकताएँ

  • At least five years of claims management experience, or an equivalent combination of education and experience
  • High school diploma or GED
  • Bachelor’s degree from an accredited college or university preferred
  • Professional certification relevant to the line of business preferred
  • Working knowledge of licensing and jurisdiction requirements in Florida, Georgia, North Carolina, and South Carolina
  • Computer keyboarding skills
  • Ability to hear, see, and communicate verbally
  • Strong clear and conceptual thinking skills
  • Sound judgment and discretion
  • Ability to meet deadlines

लाभ

  • Flexible scheduling
  • Employee referral incentive program
  • Agile work environment
  • Career advancement and promotional growth opportunities
  • Medical, dental, and vision coverage
  • 401(k) plan with matching
  • Paid time off
  • Disability and life insurance
  • Employee assistance program
  • Flexible spending or health savings account
  • Additional voluntary benefits
  • Flexible location and career path
  • Professional development opportunities

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