Sedgwick
Sedgwick
Sedgwick бүкіл әлемдегі ұйымдарға технологияға негізделген тәуекелдерді басқару, қызметкерлерге берілетін жеңілдіктер және интеграцияланған бизнес шешімдерін ұсынады. Компания жазатайым оқиға, денсаулық, еңбекке жарамсыздық, жұмыссыздық бойынша өтемақы және жауапкершілік талаптарын реттеумен қатар, консалтинг, сот-бухгалтерлік сараптама, сот-инженерлік сараптама, мүлікті қалпына келтіру, брендті қорғау және шығындардың алдын алу қызметтерін дамытады. Sedgwick құрылыс, консалтинг, денсаулық сақтау, ауыл шаруашылығы және қоршаған ортаны қорғау қызметтері сияқты салалардағы клиенттерге қолдау көрсетеді және әртүрлілікке, теңдікке, инклюзияға, сондай-ақ экологиялық, әлеуметтік және корпоративтік басқару тәжірибелеріне басымдық беретінін мәлімдейді.

Workers’ Compensation Claims Associate, Medical Only

Handle medical-only workers’ compensation claims at Sedgwick, a global claims management company. Assess compensability and benefits, maintain reserves and documentation, and ensure accurate claim coding.

Сипаттама

  • Review lower-level workers’ compensation claims and determine benefits payable
  • Adjudicate claims consistently with company standards and industry best practices
  • Adjust medical-only and minor lost-time claims under close supervision
  • Assist claims representatives, examiners, and leads with larger or more complex claims
  • Process workers’ compensation claims by assessing compensability and benefits payable
  • Check reserve accuracy and submit required documents to state agencies
  • Update claimants, clients, and relevant medical contacts on claim actions and processing
  • Keep claim files complete and claim coding accurate
  • Handle routine payments, prescriptions, and status reports for lifetime or defined-period medical claims
  • Build and maintain professional relationships with clients

Талаптар

  • High school diploma or GED
  • Any required licenses; licensing is required in Texas, Michigan, or Florida
  • At least one year of general office experience, or an equivalent combination of education and experience
  • Claims industry experience is preferred
  • Knowledge of and experience with workers’ compensation
  • Ability to analyze claims and determine compensability and benefits payable
  • Ability to maintain accurate claim reserves, documentation, and coding
  • Clear, conceptual thinking skills
  • Strong judgment, troubleshooting, problem-solving, analytical, and discretion skills
  • Ability to manage work-related stress and multiple priorities
  • Ability to meet deadlines
  • Computer keyboarding skills
  • Hearing, vision, and speaking abilities

Артықшылықтар

  • Flexible work schedule
  • Referral incentive program
  • Opportunity to work in an agile environment
  • Career development and promotion opportunities
  • Medical, dental, and vision coverage
  • 401(k) from the first day
  • 401(k) matching
  • Paid time off
  • Disability insurance
  • Life insurance
  • Employee assistance program
  • Flexible spending account or health savings account
  • Additional voluntary benefits

Ұқсас жұмыс орындары

Red Hat

Consulting Cloud Architect, OpenShift

Red Hat

Design and deliver Red Hat OpenShift, Kubernetes, and hybrid cloud solutions for enterprise customers. Lead customer engagements focused on infrastructure, automation, and application delivery.

Ашу
Kreato Global | BPO and Language Solutions
Red Hat

Red Hat OpenShift Cloud Consultant

Red Hat

Implement Red Hat OpenShift, Ceph, and Ansible solutions for enterprise customers in Israel. Design cloud architectures and advance DevOps automation at customer sites.

Ашу
Taurus SA

IT Technician and Client Support Specialist

Taurus SA
51 – 200 Қызметкерлер
Банк ісіКриптовалютаФинтех

Support Taurus’s corporate users and external clients at a regulated digital-asset fintech. Handle Azure infrastructure, endpoint support, ticket triage, and client issue resolution.

Ашу
RecruitGo

Remote Executive Assistant, Outreach and Marketing — Philippines

RecruitGo

Handle administrative support, CRM, outreach, and marketing for RecruitGo, an Employer of Record serving global clients with talent from emerging markets. Support two UK-facing clients with day-to-day administration and creative campaigns.

Ашу
Mars

Mars Customer Manager, Wegmans Account, Illinois Remote

Mars

Lead Mars Snacking’s Accelerator account strategy for Wegmans. Drive retailer growth through assortment, merchandising, pricing, promotions, and forecasting.

Ашу
Outforce

Credit Control and Collections Analyst

Outforce

Manage receivables, collections, and cash flow reporting for an FMCG business. Use SAP, Vend, and Excel to assess customer accounts and credit risk.

Ашу
Salonkee

Sales Representative, Salon Software — Göttingen

Salonkee
51 – 200 Қызметкерлер
SaaSМаркетплейсСұлулық

Grow Salonkee’s salon software business across Göttingen through local prospecting, product demonstrations, and end-to-end sales. Build relationships with salon owners and guide them from first contact through to closing.

Ашу