Future Medical Claims Examiner | Brea, CA

Liability Claims Examiner | Auto BI & Litigation Experience | NY Licensing Preferred | Dedicated Client | Remote

$80K–$90KFull-time · US Telecommuter
✓ Verified live on the employer's own system · added 5 days ago
Save search
Mid-level · 5+ yrs exp

Requirements

Education: High school

Experience: 5+ years

Skills & tools

Customer ServiceManagementTroubleshooting

Benefits — mentioned in this posting

Health, dental & vision401(k) / retirementPaid time off
Apply on company site ↗ See your fit → free

Full job description

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

PRIMARY PURPOSE OF THE ROLE To analyze Auto BI & litigated claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements .

- 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.

- Education & Licensing: 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.

- Experience: 5 years of claims management experience or equivalent combination of education and experience required.

- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE 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

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 ($80k-$90k).

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.

More jobs at Future Medical Claims Examiner | Brea, CA

Similar jobs near US Telecommuter

Search Liability Claims Examiner | Auto BI & Litigation Experience | NY Licensing Preferred | Dedicated Client | Remote jobs near US Telecommuter → Browse all live jobs

This posting was published by Future Medical Claims Examiner | Brea, CA on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.