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Sedgwick
Sedgwick
H1B वीज़ा प्रायोजकनिर्माणपरामर्शस्वास्थ्य सेवा
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।
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कंपनी की नौकरियाँ

Remote Liability Claims Adjuster — Sedgwick

Manage mid- and higher-level general liability claims for Sedgwick, from liability evaluation and adjudication through subrogation and settlement negotiations.

USसंयुक्त राज्यरिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीदावा विशेषज्ञ

विवरण

  • Review general liability claims at mid and higher levels to determine benefits due.
  • Adjudicate claims in line with company standards and industry best practices.
  • Identify subrogation opportunities and negotiate settlements.
  • Gather information to evaluate liability exposure.
  • Set reserve values and issue claim payments as needed.
  • Settle claims within the assigned authority level.
  • Evaluate liability and resolve claims within the assessed valuation.
  • Approve and process assigned claims and determine benefits due.
  • Manage action plans under the claim or client contract.
  • Communicate claim actions to claimants and clients.
  • Maintain accurate claim files and coding.
  • Process complex lifetime or defined-period medical claims when applicable.
  • Build and maintain professional client relationships.
  • Support organizational quality programs.
  • Carry out other assigned duties.

आवश्यकताएँ

  • A bachelor's degree from an accredited college or university is preferred.
  • At least four years of claims management experience, or an equivalent combination of education and experience, is required.
  • Expertise in the insurance principles and laws relevant to the applicable line of business.
  • Knowledge of recoveries, offsets and deductions, claim and disability duration, and cost containment principles.
  • Knowledge of medical management practices and, where applicable, Social Security and Medicare procedures.
  • Strong oral and written communication skills, including presentation ability.
  • Computer proficiency, including Microsoft Office.
  • Strong analytical and interpretive skills.
  • Strong organizational skills.
  • Effective interpersonal skills.
  • Strong negotiation skills.
  • Ability to work collaboratively in a team.
  • Ability to meet or exceed service expectations.
  • Ability to manage work-related stress and multiple priorities.
  • Ability to meet deadlines.
  • Willingness to travel as required.

लाभ

  • Work-life balance.
  • Equal opportunity employer.
  • Drug-free workplace.
  • Reasonable accommodations where applicable and appropriate.
  • May be considered for other roles if experience is not an exact match.

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