[Work From Home] (Part-Time) Remote Consumer Care Advocate
Looking for a straightforward job? We're hiring a Remote Consumer Care Advocate! This role is located at our Remote facility. This position requires a strong and diverse skillset in relevant areas to drive success. An attractive remuneration of a competitive salary is on offer for the successful candidate. Â Â 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. ItÂs an opportunity to do something meaningful, each and every day. ItÂs 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 youÂre someone who cares, thereÂs 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
(Part-Time) Remote Consumer Care Advocate | (M-F 3pm-8pm CST)
PRIMARY PURPOSE: To provide high quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
 Processes incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.
 Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues.
 Enters data into claims system(s) and ensures claim files are properly documented and claims coding is correct.
 Coordinates claimant address updates or changes with internal departments.
 Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
 Performs other duties as assigned.
 Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required. AssociateÂs degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience
Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.
Skills & Knowledge
 Excellent oral and written communication skills
 PC literate, including Microsoft Office products
 Strong investigation and organizational skills
 Good 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
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.
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 Apply Job! Ready to Apply?If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
Apply Now
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 youÂre someone who cares, thereÂs 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
(Part-Time) Remote Consumer Care Advocate | (M-F 3pm-8pm CST)
PRIMARY PURPOSE: To provide high quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
 Processes incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.
 Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues.
 Enters data into claims system(s) and ensures claim files are properly documented and claims coding is correct.
 Coordinates claimant address updates or changes with internal departments.
 Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
 Performs other duties as assigned.
 Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High school diploma or GED required. AssociateÂs degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience
Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.
Skills & Knowledge
 Excellent oral and written communication skills
 PC literate, including Microsoft Office products
 Strong investigation and organizational skills
 Good 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
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.
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 Apply Job! Ready to Apply?If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
Apply Now