Sedgwick organizacijam po vsem svetu zagotavlja tehnološko podprte rešitve na področju tveganj, ugodnosti in integriranih poslovnih storitev. Njegovo delo vključuje upravljanje zahtevkov zaradi nezgod, zdravstvenih težav, invalidnosti, nadomestil za brezposelnost in odgovornosti ter zagotavljanje svetovalnih storitev, forenzičnega računovodstva, forenzičnega inženiringa, obnove premoženja, varovanja blagovne znamke in preprečevanja izgub. Sedgwick podpira stranke v panogah, kot so gradbeništvo, svetovanje, zdravstvo, kmetijstvo in okoljske storitve, pri čemer poudarja raznolikost, enakost, vključevanje ter okoljske, družbene in upravljavske prakse.
Workers’ Compensation Claims Examiner, Hawaii
Handle complex workers’ compensation claims in Hawaii for Sedgwick, from exposure investigations through resolution. Duties include evaluating benefits, negotiating settlements, and coordinating with claimants, clients, and excess carriers.
Opis
- Assess client workers’ compensation claims and determine benefits owed
- Adjudicate claims in line with service expectations, industry practices, and client requirements
- Create and carry out action plans to move claims toward 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
- Submit claims to the excess carrier
- Respond promptly and professionally to requests for guidance
Zahteve
- High school diploma or GED
- At least five years of claims management experience, or an equivalent combination of education and experience
- Knowledge of Hawaii workers’ compensation jurisdiction and licensing
- Bachelor’s degree from an accredited college or university preferred
- Relevant professional certification preferred, where applicable to the line of business
- Clear, conceptual thinking
- Strong judgment, troubleshooting, problem-solving, analytical, and discretion skills
- Ability to manage work-related stress and competing priorities
- Ability to meet deadlines
- Computer keyboarding skills
- Willingness to travel as required
Ugodnosti
- Flexible work schedule
- Employee referral incentives
- Agile work environment
- Career development and advancement opportunities
- Medical, dental, and vision coverage
- 401(k) eligibility 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
- Hybrid schedule with two days in the office and three days working from home