Consumer Care Advocate

Sedgwick • San Antonio, TX • 5h ago

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

Consumer Care Advocate

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.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Similar Jobs

Customer Service Representative

UniFirst • Marion, TX • 57min ago

Management & Administrative

Customer Service Representative Location: Marion, Texas Job ID 2604086 As a CSR, you are responsible for handling inbound/outbound customer inquiries through both phone and e-mail. You will be responsible for providing a...

57min ago

Go to Apply

Sales Manager- Building Services & Construction

Aggreko • San Antonio, TX • 2h ago

Trucking & Construction

Bring your energy to Aggreko as a Sales Manager in our Building Services & Construction (BS&C) Sector based in San Antonio or Austin, TX. You'll manage a remote sales team including setting, measuring, and tracki...

2h ago

Go to Apply

New Home Sales Professional, Bilingual-Spanish

Champion Home Builders Inc. • San Antonio, TX • 3h ago

Retail & Hospitality

San Antonio, TX, USA | Base + Commission | 200000-500000 per year uncapped commission | Full Time | Major medical, vision, dental, life, disability, accident, critical illness, 401K with 50% match New Home Sales Professi...

3h ago

Go to Apply

Client Success Associate

Aston Carter • San Antonio, TX • 4h ago

Management & Administrative

Quick Hiring for "Client Success Associate" in San Antonio, TX Must be located Closer to San Antonio, TX Job Description: Manage client accounts and support customer success initiatives. Resolve complex customer issues u...

4h ago

Go to Apply

Driver, Shuttle

NDCP • San Antonio, TX • 4h ago

Overview Location:San Antonio, TXJob Type:Full-timeShift:Sunday - Wednesday 4pm start time Overview:Join National DCP, LLC (NDCP) as aShuttle Driver,delivering products safely and on time to Dunkin' franchise stores and...

4h ago

Go to Apply

Management & Program Analyst

Veterans Affairs, Veterans Health Administration • San Antonio, TX • 4h ago

Management & Administrative

Summary The Management Analyst position is in San Antonio, Texas at the Department of Veteran's Affairs' Audie L. Murphy Memorial Veterans Hospital Division (ALMD) in the Patient Care Services Department - Nursing Servic...

4h ago

Go to Apply

Cleared Security Officer - DOD Facility

Allied Universal • San Antonio, TX • 5h ago

Management & Administrative

Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you wil...

5h ago

Go to Apply

Area Manager - San Antonio, TX

Amazon • San Antonio, TX • 5h ago

Management & Administrative

Description Our WW Operations network delivers millions of packages and smiles to Amazon customers every day. We are looking for motivated, customer-focused individuals who want to join our team as an Area Manager. In th...

5h ago

Go to Apply

Education Program Specialist (EDIS)

U.S. Army Medical Command • Fort Sam Houston, TX • 5h ago

Summary About the Position: Performs with a high degree of independence, establishing program priorities, goals, and objectives with the expectation of autonomous implementation. Incumbent has full responsibility and ind...

5h ago

Go to Apply

Logistics Operations Manager

WM • San Antonio, TX • 5h ago

Management & Administrative

Job Summary Leads a team responsible for transportation operations across a third party supplier partner network in both the trucking and rail sectors. Responsible for customer engagement, and profit maximization across...

5h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)