Sedgwick
Consumer Care Advocate
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: This position starts between $16.50 to $17.00 per hour. Locations: Dubuque, IA: 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA: 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH: 5500 Glendon Court Dublin OH 43016 New Albany, OH: 7795 Walton Parkway New Albany, OH 43054 Chicago, IL: 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Memphis, TN: 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI: 300 Galleria Officentre Southfield MI 48034 Orlando, FL: 12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN: 11000 Prairie Lakes Drive Eden Prairie, MN 55344 PRIMARY PURPOSE: To provide high quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Processes 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 RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma or GED required. Associate's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Excellent 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 ENVIRONMENT When 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 deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking The 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. Sedgwick 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.
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: This position starts between $16.50 to $17.00 per hour. Locations: Dubuque, IA: 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA: 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH: 5500 Glendon Court Dublin OH 43016 New Albany, OH: 7795 Walton Parkway New Albany, OH 43054 Chicago, IL: 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Memphis, TN: 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI: 300 Galleria Officentre Southfield MI 48034 Orlando, FL: 12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN: 11000 Prairie Lakes Drive Eden Prairie, MN 55344 PRIMARY PURPOSE: To provide high quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Processes 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 RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma or GED required. Associate's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Excellent 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 ENVIRONMENT When 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 deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking The 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. Sedgwick 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.