Sedgwick
Sedgwick
Sedgwick oferă organizațiilor din întreaga lume soluții tehnologice pentru gestionarea riscurilor, beneficiilor și a unor servicii de afaceri integrate. Activitatea sa include administrarea dosarelor de daună pentru accidente, sănătate, dizabilitate, compensații de șomaj și răspundere, precum și servicii de consultanță, contabilitate judiciară, inginerie judiciară, restaurarea proprietăților, protejarea mărcilor și prevenirea pierderilor. Sedgwick sprijină clienți din sectoare precum construcțiile, consultanța, sănătatea, agricultura și serviciile de mediu, punând un accent declarat pe diversitate, echitate, incluziune și practicile de mediu, sociale și de guvernanță.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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