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Claims Technician

CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."

PRIMARY PURPOSE:
To provide technical claim support to the claims staff and customer service to claimants, clients and vendors. May perform some administrative duties as required.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Calculates average weekly wage and compensation rate; submits to examiner for approval.
Calculates and schedules weekly Total Temporary Disability/Total Permanent Disability (TTD/TPD) indemnity payments; submits to examiner for approval.
Calculates and verifies court ordered payments and issues timely; submits to examiner for approval.
Calculates cost of living adjustments (COLA) per state requirements; submits to examiner for approval.
Handles utilization review, vendor, claimant and client calls for the claims examiners.
Submits approved bills to the bill review vendor for payment.
Calculates and processes out-of-pocket expenses and manual bills for vendors and claimants.
Performs administrative duties, such as filing, copying, etc., as required.
Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing
High school diploma or GED

Experience
One (1) year of clerical or customer service experience required. Any college degree may be substituted for required experience.

Skills & Knowledge
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Strong organizational skills
Excellent 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 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 CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/20693259

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Published on Jul 29, 2011
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