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Claims Associate

4 months ago

West Des Moines, United States Sedgwick Full time

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

Claims Associate - Recovery

PRIMARY PURPOSE: To process payment checks received in accordance with company check processing guidelines; to process the regular monthly payment recovery files; to coordinate with collection agencies; and to support the Claims Recovery Team within company standards and industry best practices.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Responsible for assigned inventory of files with recovery; maintains a monthly diary to receive the payment from at-fault parties; and follows up with payees if payment is late.
  • Enters recoveries into various claims systems to ensure the recovery dollars are applied to appropriate claims file.
  • Works with collections agencies when appropriate to collect from at-fault parties and records details in claims file.
  • Using various search techniques, is responsible for skip tracing (finding someone who does not wish to be found).
  • Responsible obtaining a copy of the police report to support the recovery claim.
  • Processes invoices for various vendors involved in recovery including attorneys, special investigators, medical experts, etc.
  • Processes checks received from adverse parties/payees for payment; maintains copies of all recoveries as required by internal and external auditors.
  • Responsible for responding to clients' questions timely and professionally.
  • Assists with salvage disposition.
  • Responsible for filing, faxing, photocopying, scanning, and other general office functions; opens and distributes mail with in the department.
ADDITIONAL FUCNTIONS and RESPONSIBILITIES
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
QUALIFICATIONS

Education & Licensing
High school diploma or GED required.

Experience
One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Skills & Knowledge
  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to meet or exceed Service Expectations
  • 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 and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding

Auditory/Visual: Hearing, vision and talking

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

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.