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Sedgwick
Sedgwick
H1B vīzas sponsorsBūvniecībaKonsultācijasVeselības aprūpe
Sedgwick organizācijām visā pasaulē nodrošina tehnoloģijās balstītus riska, labumu un integrētus uzņēmējdarbības risinājumus. Uzņēmuma darbība ietver nelaimes gadījumu, veselības, invaliditātes, bezdarba kompensāciju un atbildības prasību administrēšanu, kā arī konsultāciju, tiesu grāmatvedības, tiesu inženierijas, īpašuma atjaunošanas, zīmola aizsardzības un zaudējumu novēršanas pakalpojumu izveidi. Sedgwick atbalsta klientus būvniecības, konsultāciju, veselības aprūpes, lauksaimniecības un vides pakalpojumu nozarēs, īpašu uzmanību pievēršot daudzveidībai, vienlīdzībai un iekļaušanai, kā arī vides, sociālās atbildības un pārvaldības praksei.
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Vakances uzņēmumā

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.

USAmerikas Savienotās ValstisAttālinātiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuApdrošināšanas atlīdzību speciālists

Apraksts

  • 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.

Prasības

  • 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.

Priekšrocības

  • 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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