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 Product Litigation Complex Claims Advisor Remote
Nationwide Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety
of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. OFFICE LOCATION This position may be worked remote nationwide. ARE YOU AN IDEAL CANDIDATE? To develop targeted solutions and provide added technical guidance and oversight to ensure matters are resolved optimally while creating a culture of continual quality improvement designed to elevate the overall claim handling to benefit our stakeholders. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS Education & Licensing: Production Liability Claims Litigation experience required Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims. Supervisory experience a plus. Specific jurisdictional expertise preferred. 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. Bachelor's degree from an accredited college or university preferred. Industry designation(s) preferred. Casualty Adjuster Licenses required TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. WORK ENVIRONMENT REQUIREMENTS Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
#claiminteractionaminer 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 ($97,000). 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.
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. Requisition #: R44381tcv57hlu2
or help others to grow theirs if you so choose. New graduates are welcome here! To discuss this position and community, please email your CV (confidential) to and please call or text. Feel free to connect with me on Linked In. Please reference JOB- 190KSign On Bonus6 weeks PTO100% Paid Benefits1,750/Year CMEMonday-Friday with Rare Call Our services are free for you We help negotiate your salary and contract We coordinate interviews and help with licenses Specialized recruiters match your career preferenceinteractionperienced support teams take care of every detail For more details: jobs-search.
org/insurance_atlanta-c428354/job_i1953786998
best in class for nursing care, quality of food, communication from facility and more! We have a great staff to resident ratio that allows us to provide exceptional care to our residents while having a good work/life balance. There are Full-Time (Evening) , benefit eligible positions available at our award winning 24-bed site!
Healthcare, dental, health savings, vision, life, disability, & flex spending options for Full-Time employees ~ Employer paid Basic Life Insurance for Full-Time Employees ~ Employee Assistance Program with free confidential counseling/coaching for self and family members Displays a courteous attitude and respect for all residents, families, and staff. Works to coordinate,
oversee, and provide resident-related care. Manages medications, supplies, and equipment including ordering, receiving, storing, and disposing of all items in accordance with policies and procedures.
Documents care using computerized medication administration and charting software. Notifies Clinical Manager, attending physicians, and family members of significant changes in a resident's condition, and takes follow up action as necessary. Experience in Long Term Care preferred. Join our friendly staff at our award-winning facility! Here at Newton Village , we care about you and we show it by offering discounted meals and gifts to our staff. Here we have a generous staff to resident ratio
as well as flexible scheduling and wonderful benefits. Cassia is a faith-based, nonprofit organization with over 200 years of experience caring for those in need.
Our Mission is to foster fullness of life for older adults in the spirit of Christ’s love. We take pride in providing compassionate care for our residents by embracing our eight values and service standards: Compassion, Integrity, Excellence, Innovation, Stewardship, Unity, Respect and Collaboration. At Cassia, you will be empowered to foster fullness of life for those we serve. Cassia will support your career goals and celebrate your passions. Cassia is an equal employment opportunity/affirmative action & veteran friendly employer.
For more details: jobs-search. org/rnlpn_newton-c424164/rnlpn-part-time-nursing-home-newton_i1954311842
Nurses: One on one care with ADULT & PEDIATRICclients Flexible scheduling based on your preferences Weekly pay Preventive Care Coverage for ALL employees (PRN included)+ PTO Short commute times - we match you with cases nearest you Medical, Dental, and Visionbenefits (Company-paid life insurance Employee Assistance Program+ 401K + Career advancement and training BAYADA Home Health Carewas founded on the principle that health care gets better when clients get better care at home-the place they most want to be.
Delivering care is our highest priority and greatest joy. Covering clients in Alamance, Chatham, Guilford, Randolph, and Rockingham Counties How we prepare our RNs for success: Paid
training from day 1 in the office, in the home, and online Practice with award-winning adult and pediatric Simulation labs Around the clock clinical support by phone Electronic charting using Alaya Care We care for clients of all ages, diagnoses, and acuity levels.
We offer a multitude of paid training to our nurses to feel comfortable and competent on their first shift. $5000 HIRING BONUS Available RN Shifts: Morning, evening or overnight8's, 10's, or 12's (full shift work)PRN, Part-Time, or Full-Time Requirements: Current valid nursing license in the U. S. Graduation from a qualified nursing program Pay: $27-$32 SER-Piedmont As an accredited, regulated, certified, and licensed home
health care provider, BAYADA complies with all state/local mandates.
BAYADA Home Health Care, Inc. and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. Practice: Practice Support For more details: jobs-search.
org/insurance_mocksville-c441943/rn-registered-nurse-mocksville_i1954610115
infrastructure. These setting choices include both urban and rural options available throughout our 10-county service area. About the Position: Provides direct primary care within the office setting Minimal Call - On-call coverage is mostly phone coverage, shared equally with partners.
Most sites utilize the Nurse Advice Line (triage team handling/filtering initial calls) Collaborates with and supervises Advanced Practice Providers Epic EMR, online diagnostics including PACS imaging and laboratory results Professional Skills: Board certified/Board eligible Team orientated with the ability to provide personalized patient care and demonstrate clinical outcomes Commitment to providing high-quality
and compassionate care to patients Eligible for licensure in the state of Pennsylvania Benefits: Health, life and disability insurance Medical malpractice insurance Defined contribution plan; 403(b) plan with employer match Professional dues and CME allowance Relocation assistance Potential sign on bonus About South Central Pennsylvania Features both rural and suburban living and boasts an abundance of sports, arts, cultural events, and entertainment.
Close to historically significant areas such as Gettysburg and world-famous Hershey Park and Hershey's Chocolate World. Offers top-rated public schools, blue-ribbon private schools, and some of Pennsylvania's top colleges and universities.
Area school districts are consistently ranked in the top 20 percent of Pennsylvania.
With affordable homes - a composite cost of living index of 99.7, compared to 126.5 in Philadelphia - it's a great place to grow a career and family Listed among " America's Most Livable Cities, " and ranked in U. S. News & World Report's " Best Cities to Live. " We are a two to three hour drive away from New York City, Philadelphia, Pittsburgh, Baltimore, and Washington, D. C. About UPMC Central Pa UPMC Central Pa is a nationally recognized leader in providing high-quality, patient-centered health care services in central Pennsylvania and surrounding rural communities.
The not-for-profit system cares for more than 1.2 million area residents yearly, providing life-saving emergency care, essential primary care and leading-edge diagnostic services. The UPMC Pinnacle health system includes seven acute care hospitals with 1,161 licensed beds, over 160 outpatient clinics and ancillary facilities, more than 2,900 physicians and allied health professionals, and approximately 11,000 employees. It is a health care hub serving Dauphin, Cumberland, Perry, York, Lancaster, Lebanon, Juniata, Franklin, Adams and parts of Snyder counties. For more details: jobs-search.
org/insurance_camp-hill-c445856/upmc-central-pa-is-seeking-a-full-time-internal-medicine-app-to-join-our-internal-medicine-of-camp-h_i1954472382
urban and rural options available throughout our 10-county service area. About the position: We offer a patient-centered medical home model Active population health program 24/7 nurse call center (less call! ) Innovative care model, optimizing provider-patient interaction UPMC Central Pa utilizes a system wide Epic EMR Structured Orientation and Mentorship program Desired Candidate: Graduate of accredited CRNP/PA program Commitment to providing high-quality, compassionate care to patients Team oriented with ability to provide personalized patient care and demonstrate clinical outcomes Eligible for licensure in the state of Pennsylvania Benefits: Competitive salary Health, life, and disability
insurance Medical malpractice insurance Defined contribution plan; 403(b) plan with employer match Professional dues and CME time Paid time off and paid holidays About South Central Pennsylvania Features both rural and suburban living and boasts an abundance of sports, arts, cultural events, and entertainment.
Close to historically significant areas such as Gettysburg and world-famous Hershey Park and Hershey's Chocolate World. Offers top-rated public schools, blue-ribbon private schools, and some of Pennsylvania's top colleges and universities. Area school districts are consistently ranked in the top 20 percent of Pennsylvania. With affordable homes - a composite cost of living index
of 99.7, compared to 126.5 in Philadelphia - it's a great place to grow a career and family Listed among " America's Most Livable Cities, " and ranked in U.
S. News & World Report's " Best Cities to Live. " We are a two to three hour drive away from New York City, Philadelphia, Pittsburgh, Baltimore, and Washington, D. C. About UPMC Central Pa UPMC Central Pa is a nationally recognized leader in providing high-quality, patient-centered health care services in central Pennsylvania and surrounding rural communities. The not-for-profit system cares for more than 1.2 million area residents yearly, providing life-saving emergency care, essential primary care and leading-edge diagnostic services.
The UPMC Pinnacle health system includes seven acute care hospitals with 1,161 licensed beds, over 160 outpatient clinics and ancillary facilities, more than 2,900 physicians and allied health professionals, and approximately 11,000 employees. It is a health care hub serving Dauphin, Cumberland, Perry, York, Lancaster, Lebanon, Juniata, Franklin, Adams and parts of Snyder counties. For more details: jobs-search. org/insurance_enola-c445794/upmc-is-seeking-a-advanced-practice-provider-to-join-our-team-at-primary-care-good-hope-in-enola-jo_i1954472383
LPNs Responsibilities RNs and LPNs are responsible for providing holistic nursing care within the appropriate scope of practice to incarcerated patients. Nurses collaborate with a multidisciplinary team to identify, backss and respond to a wide range of physical, psychological and social needs of the patient.
Qualifications Maryland RN or LPN license or ability to obtain license Current CPRCorrections experience not required Ability to obtain a security clearance, to include drug screen and criminal background check Available Shift Various shifts and schedules are available. Ask a recruiter today! Benefits We offer excellent compensation and comprehensive benefits for our full-time team
members including: Health, dental, vision, disability and life insurance401(k) with company match Generous paid time off Paid holidays Flexible Spending Account Continuing Education benefits Much more.About Us Centurion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other community settings.
Our dedication to making a difference and our passionate team of the best and the brightest healthcare employees has made us one of the leaders of the correctional health industry. Whether you are driven by purpose and impact or on a journey of professional growth, our opportunities can offer both. For more details: jobs-search. org/insurance_jessup-c434100/registered-nurses-and-licensed-practical-nurses-jessup_i1954312391
company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs.
ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are
proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit .
The ESIS Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. MAJOR DUTIES & RESPONSIBILITIES: Duties may include but are not limited to: Receive assignments. Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains
statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc.
to secure necessary claim information. Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. Informs claimants, insureds/customers or attorney of denial of claim when applicable. May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements.
Continues efforts to settle claims before trial. Refers claims to subrogation as appropriate. May arrange for salvage disposition or other recovery proceedings as necessary by line of business. May participate in claim file reviews and audits with customer/insured and broker. Administers benefits timely and appropriately. Maintains control of claim's resolution process to minimize current exposure and future risks Establishes and maintains strong customer relations Depending on line of business, other duties may include: Maintaining system logs Investigating compensability and benefit entitlement Reviewing and approving medical bill payments Managing vocational rehabilitation Requisition #: 2048tcv57hlu2
and practices, and competent in the provision of nursing care.
Ability to function autonomously; to make decisions, to problem solve, and to comprehend and communicate information both verbally and in writing to patients, families and caregivers, physicians, multidisciplinary team members and other community agencies.
Ability to function as a representative of the home care agency with a good understanding of services available, federal, state, and local regulations, and agency policy and procedures. Also must be able to demonstrate familiarity of insurance reimbursement and communicate this to patient, families, caregivers and all providers. Able to coordinate all services provided
to the patient by the agency, informal supports, and community resources, and review the plan of care as needed including plan for discharge and implementation of discharge plan.
Responsibilities: EDUCATION Graduate from an accredited school of nursing, college or university Licensure and current registration as a Registered Professional Nurse in the State of New York BSN preferred BLS certification preferred EXPERIENCE Minimum one (1) year relevant experience required Certified Home Care experience preferred Acute medical surgical experience preferred KNOWLEDGE, SKILLS AND ABILITY Most possess a valid driver's license and have a car available for work use Strong written and verbal
communication skills Computer skills required, i. e. software appropriate to position, word, excel Ability to prioritize Strong backssment skills required Ability to multi task WORKING CONDITIONS May be exposed to unsanitary conditions in some home settings May be exposed to high crime areas within the community, within the county serviced by the agency Endures exposure to weather and temperature extremes For more details: jobs-search.
org/weekend-rn_buffalo-c429067/weekend-rn-home-care-community-health-at-home-buffalo_i1954310374
You have specialized skills and our patients in the Edwardsville area need them! If you are an enthusiastic individual seeking an environment dedicated to superior patient care and an organization with a strong mission to serve our community, we invite you to apply!
OUR BENEFITS: $15,000 Commitment Incentive Bonus Various shift availabilities Tuition assistance/reimbursement Low nurse-to-patient ratios Expansive benefit package including PTO plan, 401k Match, and insurance coverage Professional development and advancement opportunities Targeted approach to career development Strong interdisciplinary teamwork opportunities Superior quality patient outcomes Supportive leadership and culture
WHAT YOU WILL DO IN THIS ROLE: Accurately performs patient backssments and identifies patient needs. Identifies and initiates appropriate nursing interventions.
Provides patient and family teaching throughout the rehabilitation stay and prior to discharge. Provides care appropriate to condition and age of the patient. Works cooperatively and actively participates with other members of the interdisciplinary team. Participates in Continuous Quality and Performance Improvement (CQPI). Maintains positive relationships with all customers. Promotes rehabilitation nursing philosophy and scope of practice. Actively participates in team conferences. Performs timely and appropriate documentation
relating to medical necessity in the medical record. Responsible for completion and revision of the Interdisciplinary Care Plan for each patient.
Performs timely and accurate QI backssments. Provides a safe environment for patients, visitors and staff and complies with appropriate and approved safety standards. Supports the leadership for the hospital in a professional manner and acts as a role model. Other duties as assigned. Graduation from an accredited Bachelors of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program. Current state licensure as Registered Nurse. CPR/BCLS certification. ACLS preferred. CRRN Preferred Minimum six months' Medical/Surgical experience in an acute care setting preferred.
Excellent oral and written communication and interpersonal skills. Anderson Rehabilitation Institute strives to maximize the health, function, and quality of life of those we serve through comprehensive physical medicine and rehabilitation programs. Our rehabilitation programs provide ongoing care and specialized treatment to patients throughout their recovery journey. We offer customized, intense rehabilitation tailored to the individual needs of those recovering from stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation, and orthopedic injury.
For more details: jobs-search. org/insurance_edwardsville-c429867/registered-nursern-intensive-care-unit-icu-full-time-nights-edwardsville_i1954312371
trauma patients, this dynamic unit offers an exhilarating and fast-paced environment. Join our team and embark on a transformative journey that will sharpen your critical thinking, multitasking, and clinical skills. Don't miss out on this incredible opportunity to grow both personally and professionally as an RN in a setting renowned for its excellence in patient care.
Shifts Available: Days and Nights Full Time positions available What's In it For You: Clinical ladder for growth as a Nursing Leader Comprehensive medical, dental, and vision insurance Flexible Spending Accounts Prescription Drugs Life and Disability Insurance Employee tuition reimbursement Dependent tuition reimbursement403B
with Employee matching PTO Child Care (2 - 5 years old) Qualifications and Education: RN license in Maryland or compact state CPR (AHA, Red Cross, or Military Training Network)Associate Degree in Nursing BSN obtain within 4 years of hire Previous experience as a patient care tech or student nurse tech is helpful New Grad welcome to apply!
Knowledge/Skills: Work requires the analytical skills to resolve problems that require the use of basic scientific, mathematical, or technical principles. Important Notices: Effective January 1st. 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your occupational health screening.
Exceptions to the COVID-19 vaccination requirement may be granted to individuals for religious beliefs or medical reasons by following the proper protocols.
In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities. Employees must refrain from using any tobacco products during their work shifts - including while at lunch or on breaks, and whether they are on or off campus. Johns Hopkins Health System and its affiliates are drug-free workplace employers. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. For more details: jobs-search. org/insurance_baltimore-c434177/registered-nurse-rn-surgical-unit-baltimore_i1954312469
accountable, performance-minded and ethical. Spend your summer working as a Combined Insurance Intern where you will have the opportunity to gain career-building experience. Who are we looking for? Successful interns at Combined Insurance come from many backgrounds and experiences and bring that rich diversity with them to our company.
They also have some things in common, and these attributes will lead to your success at Combined: Results orientation: a demonstrated ability to meet commitments; including under pressure Intellectual agility: capable and willing to master and apply new knowledge Personal capacity: accepting and welcoming of additional responsibility over time Communication
skills: an ability to communicate successfully in various settings Interpersonal/team skills: able to work effectively with colleagues at all levels Self-leadership: an ability to take full ownership of work and show initiative as needed Client focused: understanding of the needs of customers and clients Work ethic: a commitment to hard work and a high ethical conduct Examples of past Intern tasks/projects: Build an analytics dashboard with Power BI Assist in building team create a team Microsoft Teams site Develop and organize departmental process documentation.
Perform Enrollment audit on groups as requests are received. Analyze and execute on various department reporting and comparisons.
Learn the custom file layouts, file testing, and processing steps into internal systems to support the day-to-day activities.
Research and resolve case level inquiries as they relate to missing applications. Salesforce navigation and logging files as it pertains to Enrollment information Partner with the team on various monthly PMA (positive mental attitude) team building activities Work with WIMs(workflow inventory management) to triage tasks and enrollment files Requisition #: 14186ahf9io63
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 Workers Compensation Claims Examiner Long Beach,
CAAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development
opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. OFFICE LOCATIONS Long Beach, CA PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned.
Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
SALARY TRANSPARENCY - CO, NY, WA, CA 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 $80,000 - $95,000. 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.
#claiminteractionaminer #claims 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. Requisition #: R44796tcv57hlu2
so, this Casualty Claims Representative opportunity could be a great fit for you! Who We Are: At Farm Bureau Financial Services, we make insurance simple so our client/members can feel confident knowing their family, home, cars and other property are protected.
We value a culture where integrity, teamwork, passion, service, leadership and accountability are at the heart of every decision we make and every action we take. We're proud of our more than 75-year commitment to protecting the livelihoods and futures of our client/members and creating an atmosphere where our employees thrive. What You'll Do: As a Casualty Claims Representative, you will investigate, evaluate, negotiate and settle
assigned claims involving casualty insurance coverage. In this opportunity, you will typically handle auto liability investigation and bodily injury claims. You must investigate the facts of the loss, interpret the policy, and determine whether the loss is covered and if our client member is liable.
You will also determine the value of the loss and assist in setting appropriate reserves. In this role, it is very important to have a strong knowledge of tort law and how it relates to specific cases. As a Casualty Claims Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency
managers, claimants, policyholders, doctors, attorneys, and others.
You will work out of our Sandy, Utah office. What It Takes to Join Our Team: College degree or equivalent plus 2 years relevant experience is required. Multi-line field experience (specifically casualty claims experience) is preferred. Associate in Claims (AIC), Senior Claims Law Associate (SCLA) designation and four parts of the CPCU designation preferred or working towards the designations. High attention to detail and strong organizational skills. Must be PC literate and able to effectively use our systems. Familiarity with Outlook, Microsoft Word and Excel is preferred. A valid driver's license and satisfactory Motor Vehicle Records are required.
Some travel with overnight stays is required. Strong verbal and written communication skills. Exceptional customer service skills. What We Offer You: When you're on our team, you get more than a great paycheck. You'll hear about career development and educational opportunities. We offer an enhanced 401K with a match, low cost health, dental, and vision benefits, and life and disability insurance options. We also offer paid time off, including holidays and volunteer time, and teams who know how to have fun. For many positions, even consideration for a hybrid work arrangement.
Farm Bureau.where the grass really IS greener! Work Authorization/Sponsorship Applicants must be currently authorized to work in the United States on a full-time basis. We are not able to sponsor now or in the future, or take over sponsorship of, an employment visa or work authorization for this role. For example, we are not able to sponsor OPT status.
themselves and their family. Successful candidates for this position will provide incredible service while solving the insurance needs of the people and families they help. In addition to serving prospects referred by the owners of the Comma branch, Insurance Advisors build prospect pipelines through networking, client referrals, and social channels.