Claims Examiner- Recovery - Sedgwick Claims Management Services, Inc.
Sun Prairie, WI
About the Job
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’s an opportunity to do something meaningful, each and every day. It’s 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’re someone who cares, there’s 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
Claims Examiner- Recovery
PRIMARY PURPOSE: Processes and review subrogation claims across all lines of business and all jurisdictions with a mid-level caseload and complexity. Processes payment checks received in accordance with company check processing guidelines; processes regular recovery files; coordinates with collection agencies; and adheres to company standards and industry best practices within the Claims Recovery Team.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Responsible for assigned inventory of mid-level subrogation files with recovery.
- Maintains a diary, on cadence, aligned to department service expectations and schedules follow up to ensure timely payment.
- Processes recoveries into various claims systems to ensure the recovery dollars are applied to appropriate claims file.
- Analyzes and processes invoices for various internal/external vendors involved in recoveries including attorneys, collections, and independent investigators, etc., confirming accuracy of billing.
- Works with collections agencies when appropriate to collect from at-fault parties and records details in claims file.
- Notifies appropriate parties of subrogation lien.
- Uses technology and resources as needed to complete investigation.
- Responds to clients' questions timely and professionally.
- Prepares various type status reports for clients.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organizations' quality program(s).
- Travels as required.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Experience
Three (3) years of experience or equivalent combination of education and experience required.
Skills & Knowledge
- Thorough knowledge of claims management processes and procedures
- Excellent oral and written communication
- 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
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 is an Equal Opportunity Employer and a Drug-Free Workplace.
