Back to Jobs search

Claims Representative - Med Only | Jurisdiction: Multi State | Licensing: Home State Required (Hybrid)

Sedgwick • Montpelier, VT • 31min ago

Telecommuter MI

Telecommuter WI

US Telecommuter

Telecommuter IL

Telecommuter IA

Full time

R80428

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

Claims Representative - Med Only | Jurisdiction: Multi State | Licensing: Home State Required (Hybrid)

Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?

Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.

Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

PRIMARY PURPOSE OF THE ROLE: To analyze Medical Only claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements **.

OFFICE LOCATION:** Candidates who reside within 25 miles of a Sedgwick office will follow a hybrid work schedule, with 2 days in the office and 3 days working from home. Candidates residing outside of the 25-mile radius may be considered for a fully remote/work-from-home arrangement.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

Negotiating settlement of claims within designated authority.

Communicating claim activity and processing with the claimant and the client.

Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

QUALIFICATIONS

Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience: 2 years of claims management experience or equivalent combination of education and experience required.

Jurisdiction Knowledge: Multi State

Licensing: Home State Required

TAKING CARE OF YOU

Flexible work schedule.

Referral incentive program.

Opportunity to work in an agile environment.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($40,524.00 - $56,734.00 USD Annual). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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

Sr Tech Analyst, Finance Information Systems

Evolent • Montpelier, VT • 1d ago

Finance, Accounting & Banking

Work at Home Full time JR-916805 Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties...

1d ago

Go to Apply

Finance & Accounting - Custom App Dev - Director

PwC • Montpelier, VT • 2d ago

Finance, Accounting & Banking

At PwC, our people in software and product innovation focus on developing cutting-edge software solutions and driving product innovation to meet the evolving needs of clients. These individuals combine technical experien...

2d ago

Go to Apply

Environmental Claims Advisor

Sedgwick • Montpelier, VT • 2d ago

Finance, Accounting & Banking

US Telecommuter R80423 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...

2d ago

Go to Apply

Environmental Claims Advisor

Sedgwick • Montpelier, VT • 2d ago

Finance, Accounting & Banking

US Telecommuter R80424 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...

2d ago

Go to Apply

PwC Internal Partnership Tax Team - State & Local Senior Associate

PwC • Montpelier, VT • 3d ago

Finance, Accounting & Banking

The Opportunity As a State & Local Senior Associate you will support internal partnership tax compliance work within our Internal Firm Services practice, focusing on tax planning, compliance, and strategy for partner...

3d ago

Go to Apply

VP, Finance Excellence and Transformation

Amentum • Montpelier, VT • 3d ago

Finance, Accounting & Banking

VP, Finance Excellence and Transformation Amentum is a global leader in advanced engineering and innovative technology solutions, trusted by the United States and its allies to address their most significant and complex...

3d ago

Go to Apply

Financial Administrator III

State of Vermont • Montpelier, VT • 4d ago

Finance, Accounting & Banking

This job was posted by https://www.vermontjoblink.com : For more information, please see: https://www.vermontjoblink.com/jobs/1436251 Overview The Financial Services Division of the Agency of Administration (AOA) is sear...

4d ago

Go to Apply

Oracle NetSuite Solution Consultant, Intelligent Finance & AI

Oracle • Montpelier, VT • 4d ago

Finance, Accounting & Banking

Job Description Who are we? At Oracle NetSuite, our vision is to transform how businesses operate so they can achieve their business goals faster, smarter, and with greater confidence. As the world's leading cloud busine...

4d ago

Go to Apply

Senior Director - OCI Finance - Platform Capex and Supply Chain

Oracle • Montpelier, VT • 5d ago

Finance, Accounting & Banking

Job Description As a senior member of the Global Business Finance team, the Senior Director - Oracle Cloud Platform Capex and Supply Chain will be responsible for OCI capital forecasts, actuals and reporting and associat...

5d ago

Go to Apply

Senior Director - OCI Finance - Platform Capex and Supply Chain

Oracle • Montpelier, VT • 5d ago

Finance, Accounting & Banking

5d ago

Go to Apply

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