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।

Remote Workers' Compensation Claims Examiner – Georgia Jurisdiction

Sedgwick is seeking a remote workers' compensation claims examiner to adjudicate Georgia lost-time claims for insurance clients. The role involves investigating exposure, negotiating settlements, and managing claims through resolution.

विवरण

  • Assess Georgia lost-time claims for clients and determine benefits due
  • Adjudicate claims continuously in line with service standards, industry practices, and client requirements
  • Process claims using action plans to achieve timely, appropriate resolutions
  • Investigate claims and collect information needed to assess exposure
  • Negotiate settlements within assigned authority
  • Keep claimants and clients informed about claim activity and processing
  • Report claims to excess carriers
  • Address direction requests promptly and professionally
  • Work with a global expert network and exchange insights
  • Provide client-facing claims solutions

आवश्यकताएँ

  • High school diploma or GED is required
  • Bachelor's degree from an accredited college or university is preferred
  • Professional certification relevant to the line of business is preferred
  • Three to five years of claims management experience, or an equivalent combination of education and experience, is required
  • Knowledge of the Georgia jurisdiction is required; experience across additional states is preferred
  • A valid workers' compensation license reciprocal with multiple jurisdictions is required
  • Ability to analyze and process claims
  • Ability to investigate claims and collect exposure information
  • Ability to negotiate settlements within assigned authority
  • Ability to communicate claim activity with claimants and clients
  • Clear, conceptual thinking skills
  • Strong judgment, troubleshooting, problem-solving, analytical, and discretionary skills
  • Ability to manage work-related stress and competing priorities
  • Ability to meet deadlines
  • Computer keyboarding proficiency
  • Ability to hear, see, and speak effectively

लाभ

  • Flexible work schedule
  • Employee referral incentive program
  • Career development and advancement opportunities
  • Medical, dental, and vision coverage
  • 401(k) with matching contributions from the first day
  • Paid time off
  • Disability and life insurance
  • Employee assistance program
  • Flexible spending account or health savings account
  • Additional voluntary benefits
  • Flexible, autonomous remote work
  • Professional development opportunities

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