Claims Representative - Workers Compensation
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, ?Claim Your Future.?
PRIMARY PURPOSE : To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
QUALIFICATION
Education & Licensing
Baccalaureate degree from an accredited college or university preferred.
Experience
Three (3) years of claims management experience or successful completion of Claims Examiner II training required. Licenses as required.
Skills & Knowledge
- Knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Good interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Service Expectations
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
NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer
and a
Drug-Free Workplace
Additional Information: N/A
Requisition #: 10693
Source: http://jobs.insuranceclaimsweb.com/c/job.cfm?site_id=1635&jb=12172772
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According to Twitter, it was hacked and 250K accounts were affected, so they received emails from the company to change their password. This is not the first time this has happened, but this time it was a real hack, rather than a blend of real hacks and “false alarm” blast of emails like last time. Way to start off our weekends, Twitter. Who knows if you’ll even get the email from Twitter about it, I know that I filter all of those things out. You can read all of the details about the hack and the company response here. I find it really confusing when anything like this happens, because it feels like companies try to diminish the perception of the impact of the situation. Fact of the matter is, its users are seeing sad tweets from their friends about how they got hacked. I even had one person tell me that they felt like they weren’t cool enough because they didn’t get hacked. Instead, or in addition to, just go change your password. We’re all cool enough to get hacked. The number, 250K affected, seems a bit too tidy to me, and I’m not saying that Twitter is lying, I’m just saying that it’s better to be safe than sorry. Twitter also suggests this course of action, which is way too much for most people’s brains to process on a Friday: We also echo the advisory from the U.S. Department of Homeland Security and security experts to encourage users to disable Java on their computers in their browsers. Sure, OK. Happy Tweeting (Maybe)! While you’re at it, change all of your passwords for everything. It’s a good thing to do once in a while, especially if you use the same one for every single site you log into. [Photo credit: Flickr]