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Claims Assessment Specialist
2 months ago
About Us
At Sedgwick, we prioritize the well-being of our employees, fostering a culture that emphasizes care and support.
Career Overview
A position at Sedgwick offers a chance to engage in meaningful work while enjoying flexibility and support for your overall well-being. We are committed to nurturing your professional growth and celebrating diversity within our workforce.
Role Summary
The Claims Assessment Specialist is responsible for evaluating complex Workers Compensation claims on behalf of our esteemed clients. This role involves ensuring that claims are processed efficiently, adhering to service expectations and industry standards.
Key Responsibilities
1. Assess and manage claims through structured action plans to achieve timely resolutions by investigating and gathering necessary information.
2. Negotiate settlements within the designated authority.
3. Maintain clear communication regarding claim status with both claimants and clients.
4. Report claims to the appropriate excess carrier and respond to inquiries in a professional manner.
Qualifications
Education & Licensing: A minimum of 5 years of experience in claims management or a related field is required. A High School Diploma or GED is mandatory, while a Bachelor's degree is preferred. Relevant professional certifications are advantageous.
Licensing / Jurisdiction Knowledge
Possession of an active adjuster's license and experience with Workers Compensation claims in various jurisdictions is preferred.
Benefits
We offer a flexible work schedule, a referral incentive program, and opportunities for career advancement. Our comprehensive benefits package includes medical, dental, vision, and a 401K plan starting from day one.
Commitment to Diversity
Sedgwick is an Equal Opportunity Employer and values a diverse workforce. We encourage individuals from all backgrounds to apply, recognizing that unique skills and experiences contribute to our success.
Our Mission
Every day, we strive to support organizations and their employees, ensuring a seamless claims process while minimizing disruptions. At Sedgwick, we believe that caring counts.