York Risk Services

Supervise multiple claims examiner teams, provide technical direction on claims adjudication, monitor claims quality and compliance, and maintain client relationships. | Bachelor's degree preferred, 6+ years claims experience including 2+ years supervisory experience, knowledge of claims processes, leadership skills, and strong communication. | By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Team Leader - Liability | Remote PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. • Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. • Provides technical/jurisdictional direction to examiner reports on claims adjudication. • Compiles reviews and analyzes management reports and takes appropriate action. • Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. • Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. • Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. • Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. • Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. • Assures that direct reports are properly licensed in the jurisdictions serviced. • Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES • Administers company personnel policies in all areas and follows company staffing standards and training recommendations. • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. • Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required.Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & Knowledge • Thorough knowledge of claims management processes and procedures for multiple product lines • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Leadership/management/motivational skills • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Excellent negotiation 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 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 ($68,043 - $95,260). 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. Always accepting applications. 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. #LI-REMOTE Sedgwickis 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.

Complete a 6-week classroom training program and assist with adjusting workers compensation claims under supervision while documenting and communicating claim activities. | Entry-level candidates with customer service, data entry, and preferably medical terminology or claims experience, with a bachelor's or associate's degree preferred. | By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claim Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? • A stable and consistent work environment in an office setting. • A training program to learn how to help employees and customers from some of the world's most reputable brands. • An assigned mentor and manager who will guide you on your career journey. • Career development and promotional growth opportunities through increasing responsibilities. • A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. PREFERRED LOCATION Bartlesville, OK Candidates outside of this geographic region will be considered based on qualifications. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic individuals for an entry-level trainee position. This role begins with a comprehensive 6-week classroom-based professional training program designed to equip you with the foundational skills needed for a successful career in claims adjusting. Over the course of a few years, you'll have the opportunity to grow and advance within the field. ESSENTIAL RESPONSIBLITIES MAY INCLUDE • Attendance and completion of designated classroom claims professional training program. • Performs on-the-job training activities including: • Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. • Adjusting low and mid-level liability and/or physical damage claims under close supervision. • Processing disability claims of minimal disability duration under close supervision. • Documenting claims files and properly coding claim activity. • Communicating claim action/processing with claimant and client. • Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. • Participates in rotational assignments to provide temporary support for office needs. QUALIFICATIONS Bachelor's or Associate's degree from an accredited college or university preferred. EXPERIENCE Prior education, experience, or knowledge of: Customer Service Data Entry Medical Terminology (preferred) Computer Recordkeeping programs (preferred) Prior claims experience (preferred) Additional helpful experience: State license if required (SIP, Property and Liability, Disability, etc.) WCCA/WCCP or similar designations For internal colleagues, completion of the Sedgwick Claims Progression Program TAKING CARE OF YOU • Entry-level colleagues are offered a world class training program with a comprehensive curriculum • An assigned mentor and manager that will support and guide you on your career journey • Career development and promotional growth opportunities • A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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 (25.65/hr) USD annual salary. Commission eligible role. 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. #LI-Hybrid #LI-Remote Sedgwickis 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.