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.

Remote Workers' Compensation Claims Examiner – Georgia Jurisdiction

Sedgwick is seeking a remote workers' compensation claims examiner to adjudicate Georgia lost-time claims for insurance clients. The role involves investigating exposure, negotiating settlements, and managing claims through resolution.

Descriere

  • Assess Georgia lost-time claims for clients and determine benefits due
  • Adjudicate claims continuously in line with service standards, industry practices, and client requirements
  • Process claims using action plans to achieve timely, appropriate resolutions
  • Investigate claims and collect information needed to assess exposure
  • Negotiate settlements within assigned authority
  • Keep claimants and clients informed about claim activity and processing
  • Report claims to excess carriers
  • Address direction requests promptly and professionally
  • Work with a global expert network and exchange insights
  • Provide client-facing claims solutions

Cerințe

  • High school diploma or GED is required
  • Bachelor's degree from an accredited college or university is preferred
  • Professional certification relevant to the line of business is preferred
  • Three to five years of claims management experience, or an equivalent combination of education and experience, is required
  • Knowledge of the Georgia jurisdiction is required; experience across additional states is preferred
  • A valid workers' compensation license reciprocal with multiple jurisdictions is required
  • Ability to analyze and process claims
  • Ability to investigate claims and collect exposure information
  • Ability to negotiate settlements within assigned authority
  • Ability to communicate claim activity with claimants and clients
  • Clear, conceptual thinking skills
  • Strong judgment, troubleshooting, problem-solving, analytical, and discretionary skills
  • Ability to manage work-related stress and competing priorities
  • Ability to meet deadlines
  • Computer keyboarding proficiency
  • Ability to hear, see, and speak effectively

Beneficii

  • Flexible work schedule
  • Employee referral incentive program
  • Career development and advancement opportunities
  • Medical, dental, and vision coverage
  • 401(k) with matching contributions from the first day
  • Paid time off
  • Disability and life insurance
  • Employee assistance program
  • Flexible spending account or health savings account
  • Additional voluntary benefits
  • Flexible, autonomous remote work
  • Professional development opportunities

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