at Sedgwick in Springfield, Illinois, United States
Job Description
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
Senior Claims Associate – Travel Claims (Remote)
Seeking remote Claims Adjuster with Travel Claims experience and holding P&C license.
PRIMARY PURPOSE : To analyze reported claims, determine benefits due and make timely payments and adjustments; to provide superior customer service; to make timely payments and adjustments for specified program claims; and to process settlement of claims up to the designated authority level.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
+ Processes first party property, casualty and/or medical reimbursement claims based on multiple/additional coverage and/or programs as defined by client-specific program.
+ Makes coverage determinations based on investigation/evaluation and communicates claim actions with claimant and client.
+ Adjudicates proper settlement up to designated authority level.
+ Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
+ Performs other duties as assigned.
+ Supports the organization’s quality program(s).
QUALIFICATIONS
Education & Licensing
Preferred Bachelor’s degree from and accredited college or university.
Licenses as required.
Property and Casualty license is required.
Experience
One (1) year of claims management experience or equivalent combination of education and experience required.
Travel Claims experience preferred.
Skills & Knowledge
+ Knowledge of first party property and casualty claim adjudication as applicable to line of business
+ Strong oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Strong analytical and interpretive skills
+ Strong organizational skills
+ Strong interpersonal skills
+ 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, 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
\#LI-remote
\#claimsexaminer
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 $20/hour to $21.50/hour USD. 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.
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
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.
Taking care of people is at the heart of everything we do. Caring counts
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)
