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Sedgwick LLP jobs in Cedar Rapids, IA

- 42 jobs
  • Care Team Representative

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Care Team Representative **Entry-level, Care Team Representative** 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 and/or virtual 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. See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) (******************************************************** & ****************************************************** Learn more about our Care Team: Care Team (ceros.com) (********************************************** **PRIMARY PURPOSE OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues with one call/one person response, and directing calls to appropriate escalation path as needed. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Provide excellent customer service to external customers and internal support to an assigned team. + Act as a liaison between customers and team members; direct calls to appropriate escalation path as needed. + Provide detailed notes on phone calls, and track and code documentation according to standard processes. + Educate and inform customers about processes, timelines and status of inquiries via multiple communication channels. + Resolve issues with one call/ one-person responses. + Investigate customer feedback. + Track trends + Assist with developing corrective/preventative actions. + Perform administrative tasks. **QUALIFICATIONS** + Education & Licensing: High school diploma or GED required. + Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required + PC literate, including Microsoft Office products, Windows environment. + Must meet minimum typing requirements. + Experience: Clerical or customer service experience or equivalent combination of education and experience preferred **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. **APPLICATION PROCESS** You will complete a recorded video interview as part of our application process. Upon completion of the video interview and application submittal, you will receive an email confirmation that your application was successfully completed. If you do not receive an email notification, please log back into your candidate account and submit your application. Our team will give careful consideration while reviewing your application and information you provided against the position's criteria. If there is mutual interest, we will contact you directly. Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking. Mental: Clear and conceptual thinking ability; excellent judgement and discretion; 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 (16.00 - 17.00). 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. _ \#entrylevel \#contactcenterrep Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $47k-73k yearly est. 60d+ ago
  • Disability Representative

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Disability Representative **Disability Representative** **Our teams connect! We collaborate in-office and have a hybrid work arrangement. All candidates must live near:** **Cedar Rapids, IA** : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us! + A stable and consistent work environment in an office and/or virtual 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. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. + Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. + Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. + Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. + Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system. + Communicates with the claimants' providers to set expectations regarding return to work. + Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. + Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. + Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities. + Negotiates return to work with or without job accommodations via the claimant's physician and employer. + Refers cases as appropriate to team lead and clinical case management to assist with claim determination. + Meets the organization's quality program(s) minimum requirements. + Maintains professional client relationships and provides excellent customer service. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. **QUALIFICATIONS** **Education & Licensing** High school diploma or GED required. **Experience** Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. **Skills & Knowledge** + Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures + Knowledge of state and federal FMLA regulations + Working knowledge of medical terminology and duration management + Excellent oral and written communication, including presentation skills + Proficient computer skills including working knowledge of Microsoft Office + Analytical, interpretive, and critical thinking skills + Strong organizational and multitasking skills + Ability to work in a team environment + Ability to meet or exceed performance competencies as required by program + Effective decision-making and negotiation skills + Ability to exercise judgement with limited supervision **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:** Ability to sit at a desk for extended periods while operating a computer and phone system. 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. \#entrylevel \#claimsexaminer Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $34k-42k yearly est. 60d+ ago
  • Regional General Adjuster - Midwest Region

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Regional General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger losses and manage smaller and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. + Estimates cost of repair, replacement, or compensation. + Prepares report of findings and negotiates settlement with claimant. + Recommends litigation by legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help determine profitability and calculates adequate future rates. + Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. **Experience** Five (5) years of related experience or equivalent combination of education and experience required. **Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong customer service skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or 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: + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity Auditory/Visual: Hearing, vision and talking 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. 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 61,857.00 - 86,600.00. (Bonus or commission eligibility, if applicable). 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. Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $53k-70k yearly est. 60d+ ago
  • Leave of Absence Coordinator

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams connect! We collaborate in-office and have a hybrid work arrangement. All candidates must live near Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Are you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with us! A stable and consistent work environment in an office and/or virtual 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. PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and/or company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and/or claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization's quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year of administrative/general office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory/Visual: Hearing, vision and talking 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. 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 (16.00 - 18.00). 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. #entrylevel #claimsexaminer Sedgwick is 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.
    $36k-49k yearly est. Auto-Apply 60d+ ago
  • Sr IT Security Advisor

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Sr IT Security Advisor **PRIMARY PURPOSE OF THE ROLE:** To manage the implementation of security measures to protect company data, networks, and computer systems. To focus on executing security fundamentals for threat detection, investigation, and response efforts. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work, are customer-oriented and are naturally empathetic. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Engineers, implements and monitors security measures for the protection of computer systems, networks and information. + Identifies and defines system security requirements. + Designs computer security architecture and develops detailed cyber security designs. + Prepares and documents standard operating procedures and protocols. + Configures and troubleshoots security infrastructure devices. + Develops technical solutions and new security tools to assist in mitigating security vulnerabilities and automating repeatable tasks. + Leads IT groups and business units as necessary in troubleshooting compatibility issues between security tools and business or productivity programs. + Performs analysis of suspected malicious code and other software or programs and provides written or verbal analysis to management. + Analyzes client and customer needs as required and provides clear and concise reports to leadership. + Experience configuring and managing scan engines, sites, and asset groups. + Skilled in interpreting vulnerability findings, prioritizing remediation efforts using Real Risk Score and Threat Intelligence. + Ability to create and manage custom dashboards, reports, and alerts within InsightVM. + Familiarity with Remediation Projects and tracking progress across teams. + Knowledge of Live Dashboards and Query Builder for real-time visibility. + Experience integrating InsightVM with ticketing systems (e.g., ServiceNow, Jira) for automated remediation workflows. + Understanding of Nexpose scan engine architecture and deployment. + Ability to use InsightVM APIs for automation and custom integrations. + Experience coordinating internal and external penetration testing engagements. + Skilled in scoping penetration tests based on business needs, asset criticality, and threat landscape. + Ability to liaise between third-party testers, internal teams, and stakeholders to ensure smooth execution. + Familiarity with test scheduling, resource allocation, and minimizing operational impact. + Understanding of penetration testing methodologies (e.g., OWASP, NIST SP 800-115, PTES). + Ability to review and validate test findings, assess risk levels, and prioritize remediation. + Experience with vulnerability management tools (e.g., Rapid7 InsightVM, Tenable, Qualys) to correlate findings. + Knowledge of network, application, cloud, and physical security testing scopes. + Skilled in reviewing and distributing pen test reports, ensuring clarity and actionable insights. + Ability to track and report on remediation progress, including retesting and closure validation. + Experience maintaining audit trails and documentation for compliance and governance. + Familiarity with regulatory requirements (e.g., PCI-DSS, HIPAA, SOX, GDPR) related to penetration testing. + Ability to align testing efforts with risk management frameworks and security policies. **Experience using Rapid7 InsightVM for vulnerability scanning and management required.** **QUALIFICATIONS** Bachelor's degree in Information Systems, computer science, or related technology field from an accredited college or university preferred. Related technical institute certification preferred. Eight (8) years of encryption technologies/algorithms, digital forensics, network topologies, and access controls experience or equivalent combination of educated and experience required. Skills & Knowledge + Knowledge of TCP/IP services + Knowledge of audit and compliance + Knowledge of vulnerability management + Knowledge of penetration testing + Knowledge of various operating systems + Knowledge of desktop productivity software + Knowledge of Carbon Black Protection + Knowledge of Symantec Endpoint Protection and host data loss prevention + Knowledge of information technology security frameworks + Excellent oral and written communication skills, including presentation skills **TAKING CARE OF YOU** + Career development and promotional growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401k, PTO and more. \#IT \#informationtechnology Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines 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. If you're excited about this role but your experience doesn't align perfectly with every qualification in the , 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. Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $91k-113k yearly est. 60d+ ago
  • Data Analyst Manager

    Sedgwick 4.4company rating

    Sedgwick job in Coralville, IA

    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 Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data analysts; to develop complex reports and analyze company data including Corporate or client specific data; to serve as a technical resource for company staff on data analysis and benchmarking issues; to meet with clients on such issues as necessary; to provide training and data analysis education for program staff; and to provide technical oversight and guidance to client dedicated analysts located in multiple field offices. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work, are customer-oriented and are naturally empathetic. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Project Management experience preferred + Manages a staff of data analysts including project assignment and workflow. + Develops comprehensive, complex and accurate information reports including OSHA reporting for a specific client. + Creates complex data reports and provides analysis for forecasting and/or benchmarking used by senior management. + Reports directly to senior management and communicates data findings for forecasting and client needs. + Obtains, analyzes and provides appropriate feedback on company or client specific information needs. + Provides complex data analysis functions to meet client specific, program or company senior management needs. + Serves as a resource for colleagues on data analysis and benchmarking issues. + Provides technical oversight and guidance to client dedicated analysts located in multiple field offices. + Provides training and data analysis education for colleagues. **QUALIFICATIONS** Bachelor's degree with major in Business Administration, Statistics, or Quantitative Analysis from an accredited college or university preferred. Computer Science courses preferred. Eight (8) years of related experience or equivalent combination of education and experience required to include four (4) years business experience in an insurance related field and four (4) years statistical analysis required. Supervisory experience preferred. Skills & Knowledge + Project Management + Knowledge of risk management information systems including utilization and functionality + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Strong time management skills + Excellent interpersonal skills + Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies Credit Check required Project Management, SQL, and Python Experience desired. **TAKING CARE OF YOU** + Career development and promotional growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401k, PTO and more. \#IT \#informationtechnology Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines 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 is 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 , 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.** Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $58k-76k yearly est. 26d ago
  • Implementation Project Manager

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the subject matter expert (SME) of a single line of business; disability, leave of absence or ADA, and responsible for the implementation of the line of business for new or existing clients ensuring product quality and regulatory standards compliance. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Acts as the SME of a business line; implements new programs ensuring the client's expectations are met. + Maintains a deep understanding of the business line's processes, functions, technology and regulatory compliance. + Serves as a project manager and process owner for all components of a new client implementation. + Understands new program designs, processes, client expectations and partner relationships recommending changes as needed. + Educates clients and colleagues on new programs on technical processes and requirements. + Plays a key role in maintaining client relationships; assists in new business productions. + Travel is required up to 25%. **QUALIFICATIONS** Bachelor's degree or equivalent from an accredited college or university preferred. Six (6) years of related experience or equivalent combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth knowledge of claims management, managed care and/or absence management processes and procedures + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + 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 **NOTE** **:** Credit Security Clearance, confirmed via a background credit check, is required for this position. _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 $65,000 - $75,000 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._ 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-TS1 #LIREMOTE Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $65k-75k yearly 60d+ ago
  • Sr. Executive General Adjuster - Midwest Region

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Sr. Executive General Adjuster - Midwest Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews, telephones, or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. + Estimates cost of repair, replacement, or compensation. + Prepares report of findings and negotiates settlement with claimant. + Recommends litigation by legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. **Experience** Five (5) years of related experience or equivalent combination of education and experience required. **Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong customer service skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or 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** : + Must be able to stand and/or walk for long periods of time. + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity. **Auditory/Visual** : Hearing, vision and talking 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. 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 130,674.00 - 182,943.00. (Bonus or commission eligibility, if applicable). 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. Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $63k-111k yearly est. 60d+ ago
  • Embedded Software Controls Engineer

    Mindlance 4.6company rating

    Waterloo, IA job

    •As an Embedded Software Controls Engineer, you will design, develop, test, and document embedded software for Electromechanical/Electrohydraulic subsystems for agricultural equipment projects. In addition, you will: Create and develop software per the John Deere Embedded Software Development Process. - Participate in control system design and analysis. •Participate functional/subsystem design/test requirement reviews and document results. •Verify that subsystem meets requirements, through a combination of virtual and hardware based testing including; desktop, bench, vehicle simulator testing. •Analyze current production/experimental issues, develop an understanding of the root cause and create appropriate action plans to resolve these issues. •Provide technical support during system field-testing activities on an as needed basis. •Provide necessary design documentation to support development of service publications. What It Takes: We need an excellent communicator, both verbal and written, who thrives on solving problems and working in a team environment. •Ideally, you will have a Bachelor's Degree in Electrical, Computer, Mechanical, Ag Engineering or equivalent experience in a related career field. •We also require: - Experience working in mechatronics; this includes a solid understanding of electrical and electronics, hydraulics, and mechanical systems. - Subsystem design, software development, and electronic circuit design and analysis experience. - •Experience with C/C++ programming language and software development tools for embedded microcontrollers in mobile applications. - Control system experience preferably related to propulsion systems. A strong candidate will also have: - Technical experience relating to design/diagnostics of mechanical/electrical/hydraulic systems. - Experience with control systems design and analysis. - Some product engineering experience. Business casual dress code Thanks & Regards, Amit Kumar Sinha Technical Recruiter, Direct No:********** Additional Information All your information will be kept confidential according to EEO guidelines.
    $73k-90k yearly est. 21h ago
  • Business Consultant

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Business Consultant **PRIMARY PURPOSE** **:** To lead the business analysis efforts for managing and optimizing communication templates across the organization. This role combines business analysis expertise with technical proficiency in Java, ensuring templates are accurate, compliant and seamlessly integrated into communication systems. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Lead requirements management for communication projects, including planning and execution of requirements strategies. + Collaborate with project managers, requestors, operations, IT teams, and clients to ensure complete understanding of software requirements. + Review and validate requirements documentation prepared by team members for compliance with governance standards. + Produce detailed project documentation, including process diagrams, wireframes, mock-ups, and reports using standard templates. + Provide business-related IT knowledge during requirements gathering and analysis. + Update and maintain letter templates using Java-based template logic. + Ensure templates meet branding, compliance, and business requirements. + Prepare reports and coordinate with other departments for data accuracy. + Maintain and verify client parameters in the claims management system; research and resolve issues. + Communicate process and procedural changes to business units in response to regulatory updates. + Assist in delivering focused training sessions. + Validate template formatting, placeholders, and dynamic fields for accuracy. + Support testing and troubleshooting of communication templates in production environments . + Recommend improvements for template efficiency and user experience. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. **Experience** Six (6) years of related experience or equivalent combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred. **Skills & Knowledge** + Strong attention to detail for formatting, alignment, and placeholder validation + Excellent oral and written communication, including presentation skills + Working knowledge of Java for template logic and integration + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Excellent negotiation skills + Self-motivated + Ability and willingness to take initiative + Ability to work in a team environment + Ability to meet or exceed Service Expectations **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 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. **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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $65k-83k yearly est. 9d ago
  • Claims Examiner - Workers Compensation | MI,CA,GA,FL Jurisdictional Knowledge Preferred | TX Licensing Preferred (Hybrid)

    Sedgwick 4.4company rating

    Sedgwick job in Coralville, IA

    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 Claims Examiner - Workers Compensation | MI,CA,GA,FL Jurisdictional Knowledge Preferred | TX Licensing Preferred (Hybrid) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. + Enjoy flexibility and autonomy in your daily work, your location, and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. **ARE YOU AN IDEAL CANDIDATE?** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. **PRIMARY PURPOSE OF THE ROLE:** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Negotiates settlement of claims within designated authority. + Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. + Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. + Prepares necessary state fillings within statutory limits. + Manages the litigation process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or litigation management. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** Education and Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Jurisdiction: Michigan, California, Georgia, and Florida preferred. Licensing: Texas preferred. **TAKING CARE OF YOU** Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $35k-48k yearly est. 10d ago
  • Disability Representative Sr

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system. Communicates with the claimants' providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities. Negotiates return to work with or without job accommodations via the claimant's physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization's quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory/Visual: Hearing, vision and talking 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. 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.
    $44k-60k yearly est. Auto-Apply 13d ago
  • ADA Accommodation Coordinator

    Sedgwick Claims Management Services, Inc. 4.4company rating

    Sedgwick Claims Management Services, Inc. job in Cedar Rapids, IA

    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 ADA Accommodation Coordinator Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 PRIMARY PURPOSE: To process claims and determine accommodation options following written guidelines and procedures pursuant to ADA, state and/or client requirements; to make timely referrals for appropriate disability and federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES * Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and/or claims system. * Reviews medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition. * Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements. Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and/or client-specific process provisions. * Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews where applicable. * Conducts initial employee interview per process guidelines. * Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists). * Refers cases as appropriate to team lead. * Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES * Performs other duties as assigned. * Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge * Excellent oral and written communication skills * PC literate, including Microsoft Office products * Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills * Good 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 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. 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 $19.00 - $21.00 USD Hourly. 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. Sedgwick is 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.
    $19-21 hourly Auto-Apply 60d+ ago
  • Sr IT Security Advisor

    Sedgwick 4.4company rating

    Sedgwick job in Coralville, IA

    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 Sr IT Security Advisor **PRIMARY PURPOSE OF THE ROLE:** To manage the implementation of security measures to protect company data, networks, and computer systems. To focus on executing security fundamentals for threat detection, investigation, and response efforts. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work, are customer-oriented and are naturally empathetic. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Engineers, implements and monitors security measures for the protection of computer systems, networks and information. + Identifies and defines system security requirements. + Designs computer security architecture and develops detailed cyber security designs. + Prepares and documents standard operating procedures and protocols. + Configures and troubleshoots security infrastructure devices. + Develops technical solutions and new security tools to assist in mitigating security vulnerabilities and automating repeatable tasks. + Leads IT groups and business units as necessary in troubleshooting compatibility issues between security tools and business or productivity programs. + Performs analysis of suspected malicious code and other software or programs and provides written or verbal analysis to management. + Analyzes client and customer needs as required and provides clear and concise reports to leadership. + Experience configuring and managing scan engines, sites, and asset groups. + Skilled in interpreting vulnerability findings, prioritizing remediation efforts using Real Risk Score and Threat Intelligence. + Ability to create and manage custom dashboards, reports, and alerts within InsightVM. + Familiarity with Remediation Projects and tracking progress across teams. + Knowledge of Live Dashboards and Query Builder for real-time visibility. + Experience integrating InsightVM with ticketing systems (e.g., ServiceNow, Jira) for automated remediation workflows. + Understanding of Nexpose scan engine architecture and deployment. + Ability to use InsightVM APIs for automation and custom integrations. + Experience coordinating internal and external penetration testing engagements. + Skilled in scoping penetration tests based on business needs, asset criticality, and threat landscape. + Ability to liaise between third-party testers, internal teams, and stakeholders to ensure smooth execution. + Familiarity with test scheduling, resource allocation, and minimizing operational impact. + Understanding of penetration testing methodologies (e.g., OWASP, NIST SP 800-115, PTES). + Ability to review and validate test findings, assess risk levels, and prioritize remediation. + Experience with vulnerability management tools (e.g., Rapid7 InsightVM, Tenable, Qualys) to correlate findings. + Knowledge of network, application, cloud, and physical security testing scopes. + Skilled in reviewing and distributing pen test reports, ensuring clarity and actionable insights. + Ability to track and report on remediation progress, including retesting and closure validation. + Experience maintaining audit trails and documentation for compliance and governance. + Familiarity with regulatory requirements (e.g., PCI-DSS, HIPAA, SOX, GDPR) related to penetration testing. + Ability to align testing efforts with risk management frameworks and security policies. **Experience using Rapid7 InsightVM for vulnerability scanning and management required.** **QUALIFICATIONS** Bachelor's degree in Information Systems, computer science, or related technology field from an accredited college or university preferred. Related technical institute certification preferred. Eight (8) years of encryption technologies/algorithms, digital forensics, network topologies, and access controls experience or equivalent combination of educated and experience required. Skills & Knowledge + Knowledge of TCP/IP services + Knowledge of audit and compliance + Knowledge of vulnerability management + Knowledge of penetration testing + Knowledge of various operating systems + Knowledge of desktop productivity software + Knowledge of Carbon Black Protection + Knowledge of Symantec Endpoint Protection and host data loss prevention + Knowledge of information technology security frameworks + Excellent oral and written communication skills, including presentation skills **TAKING CARE OF YOU** + Career development and promotional growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401k, PTO and more. \#IT \#informationtechnology Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines 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. If you're excited about this role but your experience doesn't align perfectly with every qualification in the , 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. Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $91k-112k yearly est. 60d+ ago
  • Sr. Executive General Adjuster - Midwest Region

    Sedgwick 4.4company rating

    Sedgwick job in Coralville, IA

    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 Sr. Executive General Adjuster - Midwest Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews, telephones, or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. + Estimates cost of repair, replacement, or compensation. + Prepares report of findings and negotiates settlement with claimant. + Recommends litigation by legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. **Experience** Five (5) years of related experience or equivalent combination of education and experience required. **Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong customer service skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or 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** : + Must be able to stand and/or walk for long periods of time. + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity. **Auditory/Visual** : Hearing, vision and talking 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. 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 130,674.00 - 182,943.00. (Bonus or commission eligibility, if applicable). 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. Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $62k-110k yearly est. 60d+ ago
  • Rec Marine Adjuster

    Sedgwick 4.4company rating

    Sedgwick job in Coralville, IA

    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 Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine insurance coverage. + Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. **Experience** 3 years or more of Marine Adjusting preferred. **Skills & Knowledge** + Strong oral and written communication skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Demonstrated commitment to timely reporting + Ability to work independently and 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** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity **Auditory/Visual** **:** Hearing, vision and talking 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. **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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $50k yearly 19d ago
  • Embedded Software Controls Engineer

    Mindlance 4.6company rating

    Waterloo, IA job

    •As an Embedded Software Controls Engineer, you will design, develop, test, and document embedded software for Electromechanical/Electrohydraulic subsystems for agricultural equipment projects. In addition, you will: Create and develop software per the John Deere Embedded Software Development Process. - Participate in control system design and analysis. •Participate functional/subsystem design/test requirement reviews and document results. •Verify that subsystem meets requirements, through a combination of virtual and hardware based testing including; desktop, bench, vehicle simulator testing. •Analyze current production/experimental issues, develop an understanding of the root cause and create appropriate action plans to resolve these issues. •Provide technical support during system field-testing activities on an as needed basis. •Provide necessary design documentation to support development of service publications. What It Takes: We need an excellent communicator, both verbal and written, who thrives on solving problems and working in a team environment. •Ideally, you will have a Bachelor's Degree in Electrical, Computer, Mechanical, Ag Engineering or equivalent experience in a related career field. •We also require: - Experience working in mechatronics; this includes a solid understanding of electrical and electronics, hydraulics, and mechanical systems. - Subsystem design, software development, and electronic circuit design and analysis experience. - •Experience with C/C++ programming language and software development tools for embedded microcontrollers in mobile applications. - Control system experience preferably related to propulsion systems. A strong candidate will also have: - Technical experience relating to design/diagnostics of mechanical/electrical/hydraulic systems. - Experience with control systems design and analysis. - Some product engineering experience. Business casual dress code Thanks & Regards, Amit Kumar Sinha Technical Recruiter, Direct No:********** Additional Information All your information will be kept confidential according to EEO guidelines.
    $73k-90k yearly est. 60d+ ago
  • Implementation Project Manager

    Sedgwick 4.4company rating

    Sedgwick job in Coralville, IA

    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 Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the subject matter expert (SME) of a single line of business; disability, leave of absence or ADA, and responsible for the implementation of the line of business for new or existing clients ensuring product quality and regulatory standards compliance. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Acts as the SME of a business line; implements new programs ensuring the client's expectations are met. + Maintains a deep understanding of the business line's processes, functions, technology and regulatory compliance. + Serves as a project manager and process owner for all components of a new client implementation. + Understands new program designs, processes, client expectations and partner relationships recommending changes as needed. + Educates clients and colleagues on new programs on technical processes and requirements. + Plays a key role in maintaining client relationships; assists in new business productions. + Travel is required up to 25%. **QUALIFICATIONS** Bachelor's degree or equivalent from an accredited college or university preferred. Six (6) years of related experience or equivalent combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth knowledge of claims management, managed care and/or absence management processes and procedures + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + 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 **NOTE** **:** Credit Security Clearance, confirmed via a background credit check, is required for this position. _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 $65,000 - $75,000 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._ 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-TS1 #LIREMOTE Sedgwick is 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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $65k-75k yearly 60d+ ago
  • Disability Representative

    Sedgwick 4.4company rating

    Sedgwick job in Cedar Rapids, IA

    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 Disability Representative Disability Representative Our teams connect! We collaborate in-office and have a hybrid work arrangement. All candidates must live near: Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Are you looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us! A stable and consistent work environment in an office and/or virtual 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. PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system. Communicates with the claimants' providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities. Negotiates return to work with or without job accommodations via the claimant's physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization's quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. 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. #entrylevel #claimsexaminer Sedgwick is 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.
    $34k-42k yearly est. Auto-Apply 60d+ ago
  • Business Consultant

    Sedgwick 4.4company rating

    Sedgwick job in Coralville, IA

    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 Business Consultant **PRIMARY PURPOSE** **:** To lead the business analysis efforts for managing and optimizing communication templates across the organization. This role combines business analysis expertise with technical proficiency in Java, ensuring templates are accurate, compliant and seamlessly integrated into communication systems. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Lead requirements management for communication projects, including planning and execution of requirements strategies. + Collaborate with project managers, requestors, operations, IT teams, and clients to ensure complete understanding of software requirements. + Review and validate requirements documentation prepared by team members for compliance with governance standards. + Produce detailed project documentation, including process diagrams, wireframes, mock-ups, and reports using standard templates. + Provide business-related IT knowledge during requirements gathering and analysis. + Update and maintain letter templates using Java-based template logic. + Ensure templates meet branding, compliance, and business requirements. + Prepare reports and coordinate with other departments for data accuracy. + Maintain and verify client parameters in the claims management system; research and resolve issues. + Communicate process and procedural changes to business units in response to regulatory updates. + Assist in delivering focused training sessions. + Validate template formatting, placeholders, and dynamic fields for accuracy. + Support testing and troubleshooting of communication templates in production environments . + Recommend improvements for template efficiency and user experience. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. **Experience** Six (6) years of related experience or equivalent combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred. **Skills & Knowledge** + Strong attention to detail for formatting, alignment, and placeholder validation + Excellent oral and written communication, including presentation skills + Working knowledge of Java for template logic and integration + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Excellent negotiation skills + Self-motivated + Ability and willingness to take initiative + Ability to work in a team environment + Ability to meet or exceed Service Expectations **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 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. **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.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $65k-82k yearly est. 9d ago

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