Job Description

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. It\xe2\x80\x99s an opportunity to do something meaningful, each and every day. It\xe2\x80\x99s 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 you\xe2\x80\x99re someone who cares, there\xe2\x80\x99s a place for you here. Join us and contribute to Sedgwick being a great place to work.Great Place to Work\xc2\xae
Top 100 Most Loved Workplace\xc2\xae
Forbes Best-in-State EmployerService Center RepresentativePRIMARY PURPOSE: Responsible for managing data for a major insurer and setting up new claims within their system. The representative is also is responsible for monitoring the progress of claims, creating claims records/reports, and the payment of claims and processing of cheques.ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Monitor incoming claims, verify information in client system and provide coverage forms to adjusters
• Send fax confirmation notification to required parties
• Create new file in third party client systems
• Create initial reserve, change or close reserve and file as required for the third-party system
• Monitor and update client system with required file notes and status update, process cheques on client system, review cheque status or cancellation and provide update as required
• Create or save document in appropriate file (incoming or outgoing communication)
• Process estimate request, update and closure request on client system (multiline)
• Review and complete daily reports
• Send notification to client and communicate with adjuster as required
• Respond to internal or external inquiries
• Perform other related duties as required

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization\xe2\x80\x99s quality program(s).

QUALIFICATIONSEducation & Licensing

• High school diploma or GED required. College courses preferred.

Experience

• Two (2) years of administrative office experience or equivalent combination of education and experience required to include experience in presentation, desktop publishing, and graphics software.

Skills & Knowledge

• Knowledge of medical terminology
• Understanding of claims management
• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Strong organizational skills
• Good interpersonal skills
• Ability to multitask in fast paced environment
• Ability to support multiple clients across communication channels and utilize multiple systems simultaneously
• Ability to work in a team environment and/or independently
• Ability to meet or exceed Performance Competencies

We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.Sedgwick is an Equal Opportunity Employer.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. Sedgwick retains the discretion to add or to change the duties of the position at any time.

Sedgwick