Vacancy expired!
The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.Great Place to Work®Most Loved Workplace®Forbes Best-in-State Employer(Entry-Level) Consumer Care Advocate - Memphis, TN & Plano, TXPRIMARY PURPOSE : To provide high quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time. Candidates must be local to Memphis, TN or Plano, TX but are welcome to work remotely from home BENEFITSCompetitive hourly ratesFlexible work scheduleReferral Incentive ProgramOpportunity to work from homeInternal career progression and developmentBenefits eligibility and 401(k) with company match day 1ESSENTIAL FUNCTIONS and RESPONSIBILITIESProcesses incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.
Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues.
Enters data into claims system(s) and ensures claim files are properly documented and claims coding is correct.
Coordinates claimant address updates or changes with internal departments.
Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations.
ADDITIONAL FUNCTIONS and RESPONSIBILITIESPerforms other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONSEducation & LicensingHigh school diploma or GED required. Associate’s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.ExperienceTwo (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.Skills & KnowledgeExcellent oral and written communication skills
PC literate, including Microsoft Office products
Strong investigation and organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENTWhen applicable and appropriate, consideration will be given to reasonable accommodations.Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical : Computer keyboarding, travel as requiredAuditory/Visual : Hearing, vision and talkingThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. # LI-RemoteSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Vacancy expired!