Claims Management Professional

1 week ago

Bartlesville, Oklahoma, United States Sedgwick Full time

At Sedgwick, we prioritize the well-being of our team members, fostering a culture of support and inclusivity. A career with us means you will have the flexibility to balance your professional and personal life while engaging in meaningful work that makes a difference. We are committed to your mental, physical, financial, and professional growth, providing an environment that celebrates diversity and fairness.

Join us in making a positive impact

Position Overview: As a Claims Adjuster specializing in Workers Compensation, you will be responsible for evaluating mid- and high-level claims to ascertain the benefits owed. Your role will involve ensuring that claims are adjudicated according to company standards and industry best practices, as well as identifying subrogation opportunities and negotiating settlements.

Key Responsibilities:

  • Assess and manage workers compensation claims, determining compensability and benefits for long-term indemnity cases, while ensuring accurate reserves and necessary documentation is filed.
  • Develop and implement action plans for claims resolution, coordinating return-to-work initiatives and approving claim payments.
  • Process assigned claims, ensuring benefits are accurately determined and action plans are managed according to client contracts.
  • Handle subrogation processes and negotiate settlements effectively.
  • Maintain clear communication regarding claim actions with claimants and clients.
  • Ensure thorough documentation of claim files and accuracy in claims coding.
  • May involve processing complex medical claims, including state and physician filings.
  • Foster professional relationships with clients.
Additional Responsibilities:
  • Perform other duties as assigned.
  • Support the organization's quality initiatives.
  • Travel as necessary.
Qualifications:
Education: A Bachelor's degree from an accredited institution is preferred.
Experience: A minimum of four years in claims management or a comparable combination of education and experience is required.
Skills and Knowledge:
  • Familiarity with regulations, offsets, deductions, and medical management practices relevant to the industry.
  • Exceptional oral and written communication skills, including the ability to present information effectively.
  • Proficient in Microsoft Office and other relevant software.
  • Strong analytical and interpretive abilities.
  • Excellent organizational and interpersonal skills.
  • Proficient negotiation skills.
  • Able to thrive in a collaborative team environment.
  • Commitment to meeting or exceeding service expectations.
Work Environment:
Consideration will be given to reasonable accommodations when applicable.
Mental: Ability to think clearly and conceptually, demonstrating excellent judgment and problem-solving skills while managing multiple priorities and deadlines.
Physical: Proficient in computer keyboarding and travel as required.
Auditory/Visual: Capable of hearing, vision, and verbal communication.
Note: A background credit check is required for this position.

At Sedgwick, we are proud to be an Equal Opportunity Employer and maintain a Drug-Free Workplace. We value diversity and encourage individuals with unique skills and experiences to apply.

  • EOI - Office Support Professional - Contract

    6 days ago

    Bartlesville, Oklahoma, United States ConocoPhillips Full time

    The Administrative Assistant expression of interest (EOI) job is used to fill high-volume roles or frequently hired positions to be used for future openings. By filling out an EOI job application, you are joining our Talent Community, where you have the opportunity to be matched with openings that are the right fit for you.ConocoPhillips is a leading oil and...

  • Internship Program for Aspiring Professionals

    1 week ago

    Bartlesville, Oklahoma, United States Phillips 66 Full time

    JOIN US FOR A REWARDING INTERNSHIP EXPERIENCE.Our internship program offers you the chance to bring your enthusiasm, teamwork, and insights while facing challenges similar to those encountered by our full-time employees. We view internships as a valuable opportunity for mutual discovery—allowing us to learn about you and for you to explore our...

  • Insurance Risk Analyst

    4 days ago

    Bartlesville, Oklahoma, United States Bridge Specialty Group Full time

    About the RoleBuilt on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. We are seeking an Insurance Risk Analyst to join our team at Bridge Specialty Group.Key ResponsibilitiesCollect, review and analyze an applicant's relevant history and records to determine the level of risk...

  • Relief Cook

    2 days ago

    Bartlesville, Oklahoma, United States CrossReach Full time

    Job SummaryCrossReach is seeking a skilled Relief Cook to join our team. As a Relief Cook, you will be responsible for preparing and serving nutritionally balanced meals and snacks to our service users.Main ResponsibilitiesPrepare and serve meals and snacks to meet the individual needs and requests of our service users.Maintain a high standard of hygiene and...

  • General Manager

    6 days ago

    Bartlesville, Oklahoma, United States Regal Full time

    Job SummaryWe are seeking a highly skilled and experienced General Manager to join our team at Regal. As a key member of our management team, you will be responsible for overseeing the day-to-day operations of our theatre, ensuring exceptional guest experiences, and driving business growth.Key ResponsibilitiesLeadership and ManagementDirect and supervise a...

  • Food and Beverage Operations Manager

    4 days ago

    Bartlesville, Oklahoma, United States HORIZON HOSPITALITY (Hospitality Executive Search) Full time

    Job OverviewWe are seeking an experienced Food and Beverage Operations Manager to join our team at Horizon Hospitality, a leading hospitality executive search firm. This is an exciting opportunity for a skilled professional to take on a key role in the management of our clients' food and beverage operations.Key ResponsibilitiesOversee all food and beverage...

  • Nurse Case Manager

    3 days ago

    Bartlesville, Oklahoma, United States Angels Care Home Health Full time

    About the PositionThe Nurse Case Manager coordinates all aspects of patient care in the home setting. This role involves interacting with other medical disciplines as needed and providing professional care to patients. The Nurse Case Manager performs the admission visit to the patient in the home and determines the patient's eligibility for home care...

  • Pest Management Specialist

    2 weeks ago

    Bartlesville, Oklahoma, United States The Bug Master Full time

    Pest Management Specialist Overview: The Bug Master is a dynamic and expanding pest management firm based in Austin, TX, with additional branches in Temple, Houston, and San Marcos. Our commitment to delivering exceptional customer service sets us apart in the industry, and we seek individuals who are enthusiastic about upholding this standard. Role...

  • Retail Store Manager

    1 week ago

    Bartlesville, Oklahoma, United States Mobilelink Full time

    About MobilelinkMobilelink is a leading national retailer with over 500 stores across the country. We are a dynamic and equal-opportunity employer committed to providing our customers with an exceptional shopping experience.Job SummaryWe are seeking a highly motivated and experienced Retail Store Manager to lead our sales team and drive business growth. As a...

  • Coffee Operations Manager

    1 week ago

    Bartlesville, Oklahoma, United States Coffeeville Co Full time

    HEAD BARISTA - TEAM LEADERJob OverviewCoffeeville Co is on the lookout for a skilled Barista to take on the role of HEAD BARISTA and TEAM LEADER. This position is crucial for ensuring the utmost quality and professionalism in our coffee and tea offerings. Key responsibilities include overseeing Baristas and staff at the register and drive-thru.Key...

  • Primary Care Operations Manager

    2 weeks ago

    Bartlesville, Oklahoma, United States Ascension Full time

    Position OverviewThe role of the Primary Care Operations Manager involves overseeing the daily functions of the assigned healthcare practice. This position serves as a crucial link between physicians and administrative staff, ensuring smooth operations and effective communication.Key ResponsibilitiesAct as a liaison between clinical staff and administrative...

  • IT Data Management Analyst

    6 days ago

    Bartlesville, Oklahoma, United States INSPYR Solutions Full time

    About the RoleWe are seeking a highly skilled IT Data Management Analyst to join our team at INSPYR Solutions. As a key member of our organization, you will be responsible for developing and supporting Data Analytics and Automation solutions, administering/governing FinCPDRes-specific Analytics platforms, and consulting/governing FinCPDRes-embedded...

  • Oncology Registered Nurse III

    2 weeks ago

    Bartlesville, Oklahoma, United States OKLAHOMA CANCER SPECIALISTS MANAGEMENT COMPA Full time

    Position OverviewAs a vital member of our oncology care team, you will be instrumental in delivering exceptional nursing services to patients battling cancer. Your expertise will contribute significantly to enhancing patient outcomes and experiences.Key Responsibilities:Deliver comprehensive nursing care tailored to the needs of cancer patients.Operate with...

  • Field Support Engineering Manager

    2 weeks ago

    Bartlesville, Oklahoma, United States ABB Full time

    Field Service Team Leader - Advanced Leak DetectionAt ABB, we are committed to tackling global challenges. Our fundamental values: care, courage, curiosity, and collaboration - along with a strong emphasis on diversity, inclusion, and equal opportunities - drive our mission to empower individuals to develop sustainable solutions. Join us in shaping the...

  • New Graduate Position in Supply Chain Management

    2 weeks ago

    Bartlesville, Oklahoma, United States Phillips 66 Full time

    START YOUR PROFESSIONAL JOURNEY WITH USAt Phillips 66, we are committed to facilitating a seamless transition for University Graduates into the workforce through tailored programs that equip you with essential skills for a successful career launch. Discover more about our initiatives at our website.Procurement is an excellent career path for those who thrive...

  • Executive Chef

    6 days ago

    Bartlesville, Oklahoma, United States Compass Group, North America Full time

    About the RoleWe are seeking an experienced Executive Chef to lead our culinary team at Compass Group, North America. As a key member of our leadership team, you will be responsible for overseeing all culinary functions for a dining account, managing and leading a team of associates, and ensuring the highest level of food quality and safety.Key...

  • Travel Nurse RN

    6 days ago

    Bartlesville, Oklahoma, United States TravelNurseSource Full time

    About the Position:TravelNurseSource is working with Titan Medical Group to find a qualified Stepdown RN for a 13-week assignment in Oklahoma.Pay Information:$1,818 to $2,018 per weekAbout the Job:This is a Travel Nurse RN - Stepdown position with Titan Medical Group in Bartlesville, OK.Job Details:Weekly Gross Pay: $1818 - $2018Location: Bartlesville, OK,...

  • Senior Coffee Shop Supervisor

    1 week ago

    Bartlesville, Oklahoma, United States Coffeeville Co Full time

    LEAD BARISTA - MANAGERJob OverviewCoffeeville Co is on the lookout for a skilled Barista to take on the role of LEAD BARISTA/MANAGER. This position is crucial for ensuring the utmost professionalism in our coffee and tea offerings. Responsibilities will encompass overseeing Baristas and staff at the register and drive-thru.Key Responsibilities:Manage and...

  • Executive Chef

    4 days ago

    Bartlesville, Oklahoma, United States Compass Group Careers Full time

    Job SummaryWe are seeking a highly skilled and experienced Executive Chef to lead our culinary team in a dynamic business dining environment. As a key member of our leadership team, you will be responsible for overseeing all culinary functions, managing a team of associates, and ensuring exceptional food quality and safety standards.Key...

  • Physician Assistant Partner for Primary Care or Specialty

    6 days ago

    Bartlesville, Oklahoma, United States TRIAD MSO Full time

    Job OpportunityWe are seeking a highly motivated Physician Assistant to join our team at TRIAD MSO. As a Physician Assistant Partner, you will have the opportunity to own and operate your own practice, while receiving comprehensive support from our management services group.Key ResponsibilitiesProvide high-quality patient care and servicesManage and oversee...