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।

Workers’ Compensation Claims Examiner – Salt Lake City (Hybrid)

Handle complex workers’ compensation claims for Sedgwick, assessing coverage, investigating exposures, and negotiating settlements. The role also involves communicating claim decisions and activity with claimants and clients.

विवरण

  • Review clients’ workers’ compensation claims and determine benefits payable.
  • Manage claims through ongoing decisions that meet service standards, industry practices, and client requirements.
  • Assess and process claims using action plans to reach timely resolutions.
  • Investigate claims and collect information to assess exposure.
  • Negotiate settlements within assigned authority.
  • Update claimants and clients on claim activity and processing.
  • Submit claims to the excess carrier.
  • Respond promptly and professionally to requests for guidance.

आवश्यकताएँ

  • High school diploma or GED is required.
  • A bachelor’s degree from an accredited college or university is preferred.
  • Relevant professional certification is preferred where applicable to the line of business.
  • Five years of claims management experience, or an equivalent combination of education and experience, is required.
  • Must hold a license in California or Nevada.
  • Can analyze and process workers’ compensation claims.
  • Can investigate claims and gather information to assess exposure.
  • Can negotiate claim settlements within assigned authority.
  • Can communicate claim activity and processing to claimants and clients.
  • Can report claims to excess carriers and respond to requests for direction.
  • Clear and conceptual thinking skills.
  • Strong judgment, troubleshooting, problem-solving, analytical, and decision-making skills.
  • Can manage work-related stress and multiple priorities at once.
  • Can meet deadlines.
  • Can use a computer keyboard.
  • Can hear, see, and speak.

लाभ

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotion opportunities.
  • Medical, dental, and vision coverage.
  • 401(k) plan with matching.
  • Paid time off.
  • Disability and life insurance.
  • Employee assistance program.
  • Flexible spending account or health savings account.
  • Additional voluntary benefits.
  • Remote work flexibility under the current designation, with a transition to hybrid work.

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