Remote Healthcare Virtual Assistant (Mexico, Part-Time)
My Hero VA
Manage caregiver documentation, credentials, and training coordination for a U.S. staffing agency. This remote role is based in Mexico and offers 25 hours per week.
Open
Sedgwick provides technology-enabled risk, benefits, and integrated business solutions for organizations worldwide. Its work includes administering accident, health, disability, unemployment compensation, and liability claims, alongside building consulting, forensic accounting, forensic engineering, property restoration, brand protection, and loss prevention services. Sedgwick supports clients across industries including construction, consulting, healthcare, agriculture, and environmental services, with a stated focus on diversity, equity, inclusion, and environmental, social, and governance practices.
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.
Description
- 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
Requirements
- 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
Benefits
- 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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