CharlotteRecruiter Since 2001
the smart solution for Charlotte jobs

Claims Adjuster - Workers' Compensation

Company: Sedgwick Claims Management Services, Inc
Location: Charlotte
Posted on: January 13, 2021

Job Description:

Claims Adjuster - Workers CompensationIF YOU CARE, THERE'S A PLACE FOR YOU HEREFor a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts--. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.For nearly 50 years, Sedgwick has been helping employers answer virtually every question there is about workers' compensation. We have experience in nearly every type of industry, in every region, providing the broadest range of programs and services.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* Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.* Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.* Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.* Manages subrogation of claims and negotiates settlements.* Communicates claim action with claimant and client.* Ensures claim files are properly documented and claims coding is correct.* May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.* Maintains professional client relationships.ADDITIONAL FUNCTIONS and RESPONSIBILITIES* Performs other duties as assigned.* Supports the organization's quality program(s).* Travels as required.QUALIFICATIONEducation & LicensingBachelor's degree from an accredited college or university preferred.ExperienceFour (4) years of claims management experience or equivalent combination of education and experience required.Skills & Knowledge* Working 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 ExpectationsWORK ENVIRONMENTWhen 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 deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talkingNOTE: 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 Employerand aDrug-Free Workplace

Keywords: Sedgwick Claims Management Services, Inc, Charlotte , Claims Adjuster - Workers' Compensation, Other , Charlotte, North Carolina

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


New Restaurant Opening in Spartanburg East - Now Hiring (3729)
Description: New Restaurant Opening in Spartanburg East - Now Hiring 3729 4 br DescriptionCULTIVATING A BETTER WORLDFood served fast doesn't have to be a typical br fast food experience. Chipotle has (more...)
Company: Chipotle Mexican Grill
Location: Spartanburg
Posted on: 01/18/2021

Senior BCBA 1183736
Description: Access Family Services, Inc.Are you searching for a way to use your compassion, knowledge, and leadership skills Access Family Services, Inc., part of the national Pathways mental health family of providers, (more...)
Company: Pathways
Location: Hickory
Posted on: 01/18/2021

Host
Description: Store Location: US-NC-Hickory Overview: As a hospitality expert, you ll get to welcome our hungry guests into the store with a smile and ring the dinner bell or, well...call their party when it s time (more...)
Company: Cracker Barrel
Location: Hickory
Posted on: 01/18/2021


Superintendent
Description: SUMMARY--The Building and Grounds Superintendent shall be responsible for overseeing and coordinating the interior and exterior maintenance of Contec's facilities located in Spartanburg, SC. Primary responsibilities (more...)
Company: Contec, Inc.
Location: Spartanburg
Posted on: 01/18/2021

CDL-A Flatbed Truck Driver
Description: FLATBED CDL-A TRUCK DRIVER JOBSAverage .65 CPM With Boyd Bros. The best flatbed truck driver jobs are right here at Boyd. Bros- the company the best drivers call home. And now,
Company: Boyd Brothers Transportation
Location: Spartanburg
Posted on: 01/18/2021

Earn more this Winter, deliver with Uber Eats
Description: Deliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends it's up to you. Earn Good Money. You'll earn by bringing people (more...)
Company: Uber Eats
Location: Hickory
Posted on: 01/18/2021

Team Member
Description: Job DescriptionDescription/Job Summary We are taking all precautions for our employees' health at this time via meticulous sanitation practices, mask wearing, and abiding by all state
Company: Panera
Location: Hickory
Posted on: 01/18/2021

Students - Deliver with Uber Eats
Description: Job DescriptionDeliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends it's up to you. Earn Good Money. You'll
Company: Uber Eats
Location: Hickory
Posted on: 01/18/2021

1)Enter Email 2)Take Survey 3)Brands Want To Pay You $350 For Your Time
Description: Big Brands Paying
Company: MoneyAtHome
Location: Burlington
Posted on: 01/18/2021

Senior Loan Funder / Closer / Remote
Description: Senior Loan Funder/Closer Certified Mobile Notary Service https://certifiedmobilenotaryservice.com is seeking for someone to fill the position of a Senior Loan Funder/Closer to work remotely in the (more...)
Company: Certified Mobile Notary Service
Location: Hickory
Posted on: 01/18/2021

Log In or Create An Account

Get the latest North Carolina jobs by following @recnetNC on Twitter!

Charlotte RSS job feeds