Claims Examiner
7 days ago
Sedgwick is seeking a driven individual to join our team as an Agile Claims Associate - Liability. As a key member of our team, you will be responsible for analyzing and processing claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Key Responsibilities- Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiate settlement of claims within designated authority.
- Communicate claim activity and processing with the claimant and the client.
- Report claims to the excess carrier and respond to requests for directions in a professional and timely manner.
- 2+ years of claims management experience or equivalent combination of education and experience required.
- 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.
- Active adjusters license preferred, not required.
Sedgwick is a global industry leader known for its excellence and customer service. We offer a diverse and comprehensive benefits package, including medical, dental, vision, 401K, and a referral incentive program. Our company culture values empathy, accountability, collaboration, growth, and inclusion.
We are 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 anyway. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
-
Claims Examiner
4 days ago
Plano, Texas, United States Sedgwick Full timeAbout SedgwickSedgwick is a global industry leader in claims management and outsourcing solutions. We help organizations manage risk and recover from losses with expertise, technology, and a commitment to customer service.Job SummaryWe are seeking a Claims Examiner to join our team in Plano, TX. As a Claims Examiner, you will analyze and process claims to...
-
Title Insurance Claims Examiner
4 days ago
Plano, Texas, United States TEEMA - Litchfield Park Full timeJob Title: Title Insurance Claims AdministratorWe are seeking a skilled and experienced Title Insurance Claims Administrator to join our team at TEEMA - Litchfield Park. The successful candidate will be responsible for managing and processing title insurance claims efficiently and accurately, ensuring timely resolution and exceptional customer service.Key...
-
Patient Services Specialist 2
3 weeks ago
Plano, Texas, United States Baylor Scott & White Healthcare Full timeJob SummaryThe Patient Services Specialist 2 provides administrative support in a healthcare setting, ensuring high-quality patient-centered care. Key responsibilities include patient relations, scheduling, insurance verification, and answering phone inquiries. This role may also involve training and mentoring junior staff members.Key ResponsibilitiesAssists...
-
Patient Services Coordinator
2 weeks ago
Plano, Texas, United States Baylor Scott & White Health Full timeJob SummaryThe Patient Services Specialist 2 plays a vital role in ensuring high-quality, patient-centered care in a physician office, clinic, or other operational area. This position provides administrative support to patients, ensuring a seamless experience from check-in to check-out. Key responsibilities include patient relations, scheduling, insurance...
-
Patient Services Coordinator
2 weeks ago
Plano, Texas, United States Baylor Scott & White Health Full timeJob SummaryThe Patient Services Specialist 2 plays a vital role in ensuring high-quality, patient-centered care in a physician office, clinic, or other operational area. This position provides administrative support to patients, ensuring a seamless experience from check-in to check-out.Key ResponsibilitiesAssist patients with check-in, check-out, scheduling,...
-
Plano, United States Baylor Scott & White Healthcare Full timeJOB SUMMARYThe Patient Services Specialist 2 provides administrative help in a physician office, clinic or other operational area that assists patients, to ensure high quality, patient-centered care. Duties include patient relations, check-in or check-out, scheduling, insurance verification and answering phones. May assist in training and mentoring junior...
-
Plano, United States Baylor Scott & White Healthcare Full timeJOB SUMMARY The Patient Services Specialist 2 provides administrative help in a physician office, clinic or other operational area that assists patients, to ensure high quality, patient-centered care. Duties include patient relations, check-in or check-out, scheduling, insurance verification and answering phones. May assist in training and mentoring junior...
