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Sedgwick
Sedgwick
Sponsor pentru viza H1BAsistență medicalăConstrucțiiConsultanță
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.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiRemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăSpecialist în daune

Descriere

  • 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.

Cerințe

  • 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.

Beneficii

  • 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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