Sedgwick LLP jobs in Orlando, FL - 86 jobs

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 Complex Casualty Adjuster **PRIMARY PURPOSE** **:** Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies. + Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws. + Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues. + Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability. + Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims. + Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage. + Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials. + Maintains proper reserves on all pending claims. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Travel as required **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. **Experience** Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred. **Skills & Knowledge** + Exposure to and knowledge of affluent market segment + Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management + Excellent oral and written communication skills, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiating skills + Ability to create and complete comprehensive, accurate and constructive written reports + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85,000 - $120,000 USD annually). 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. 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**

Business Call Center Nurse Specialist Visa GC/Citizen Division Pharmaceutical Pay Negotiable Contract 6 Month Temp-to-Hire on performance Timings Mon - Fri between 12.30AM - 9.00PM Qualifications Provides telephonic professional nursing services in support of contracts to include: telephonic patient support and resource, data collector, referral source, and nurse educator to patients. Works under moderate supervision. Essential Duties and Responsibilities 1. Adheres to principles as stipulated by program specific contractual agreements and Accredo Health Service's practices which may include: · Patient Support: Make outbound phone calls to patients who have opted into a patient compliance program, make additional calls as directed and be available to support these patients by phone at all other times. Receive inbound phone calls from patients, healthcare professionals and consumers and provide a professional resource for inquiries. · Resource: Answer patient, consumer and healthcare professional questions and suggest appropriate resources to patients. · Referral Source: Make appropriate referrals for additional training, support groups, program materials, or literature, and to recommend that the patients contact personal physicians for additional information, directions and care. · Collect Data: Assemble accurate, timely, clear data and complete summary of follow-up phone calls, patient inquiries, and outcomes · Educator: Complete patient teaching in relation to the use of products 2. Participates in program specific customer meetings and training sessions. 3. Participates in program specific orientation meetings and demonstrates clinical competency on written tests. 4. Performs special projects and performs other duties as it pertains to specific contract performance. Other Job Functions · Performs other related duties as assigned or requested. Scope of Position Responsibilities · For Internal and External Relationships: Responsible for customer and patient interactions. · For Organization Influence : Limited - Works within the guidelines of a specific program. · Limits of Authority : Works under the authority level as assigned by manager, not to exceed manager limits. Reports to the company or division manager or director. Job Qualifications · Required Education and Experience: BA/BS degree; Registered Nursing program (RN) certification required. 4 years (or more) of hands-on nursing experience and direct patient care service required; Specialty Pharmacy experience preferred. Active, unrestricted Nursing license in the state of employment. · Knowledge and Abilities: Knowledge and experience in the areas of Neurology, Multiple sclerosis, Rheumatology, Dermatology, Pulmonology, Gastroenterology, Infectious Disease, Asthma, Oncology, or Pediatrics. Good phone etiquette and previous telephonic clinician work experience is preferred. Demonstrated ability to work cross-functionally to improve quality and service. Good interpersonal skills, problem solving skills. Demonstrated ability to multi-task, detail-oriented, and the ability to adapt in a dynamic fast paced work environment. License/Certifications · Ability to obtain and sustain Nursing license in required states including but not limited to: Indiana Additional Skills · Analyze data · Answer telephones · Develop/maintain networks on a broad cross section · Effective at group involvement · Handle multiple tasks · Compile data/statistics · Establish filing system · Input data into computer systems · Use computerized spreadsheets to conduct analysis · Problem solving · Research information · Strong communications-written and verbal · Time management · Effective interpersonal, negotiating and communication skills required. Computer Skills · Data entry · Visual concentration on computer screens · Multi-user computer systems · Personal Computer · Microsoft Office - Word, Excel, Microsoft Office Working Conditions/Physical Demands Normal office environment Lifting under 10 pounds Ability to travel for contract requirements If you are available and interested then please reply me with your “ Chronological Resume” and call me on ************** . Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W : ************ *************************

Business Project Manager Visa GC/Citizen Division Pharmaceutical Contract 5 Months Qualifications · Manages the activities and people associated with the project and the success of that project. · Works with user to identify the user's need. · Delivers quality systems solutions to business problems. · Develops conceptual level requirements in the analysis phase. · Supports the production environment proactively through tracking management activities. · Responsible for the ongoing systems needs of the client/user community. · Utilizes formal SDLC to coordinate system development activities; provide project status reports; identify and define user needs; analyze project proposals; develop conceptual systems requirements; develop systems phasing plan; provide business application consultation; provide problem tracking/management. · Bachelors or Master's degree in Business, four to six years consulting experience preferred. · Four to eight years' experience, and two years in project management. Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W : ************ *************************

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 Utilization Review Coordinator **PRIMARY PURPOSE** : To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Accesses, triages and assigns cases for utilization review (UR). + Responds to telephone inquiries proving accurate information and triage as necessary. + Enters demographics and UR information into claims or clinical management system; maintains data integrity. + Obtains all necessary information required for UR processing from internal and external sources per policies and procedures. + Distributes incoming and outgoing correspondence, faxes and mail; uploads review documents into paperless system as necessary. + Supports other units as needed. **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 administrative experience or equivalent combination of experience and education required. Customer service in medical field preferred. Workers compensation, disability and/or liability claims processing experience preferred. **Skills & Knowledge** + Knowledge of medical and insurance terminology + Knowledge of ICD9 and CPT coding + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Detail Oriented + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment, 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**

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 Field Case Manager-Sign-On Bonus **This Field Case Manager will cover our Orlando region and** **must** **live in this area in order to be considered.** ** Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** ** ** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. + Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. + Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. + Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. + Enable our Caring counts mission supporting injured employees from some of the world's best brands and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. + Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. + Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or graduate degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver's license required. High speed internet required. **TAKING CARE OF YOU BY** + Offering flexibility and autonomy. + Supporting meaningful work that promotes critical thinking and problem solving. + Providing on-going learning and professional growth opportunities. + Promoting a strong team environment and a culture of support. + Recognizing your successes and celebrating your achievements. + We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. **NEXT STEPS** If your application is selected to advance to the next round, a recruiter will be in touch. \#nurse #fieldcasemanager 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**

Business Insurance Specialist Visa GC/Citizen Division Pharmaceutical Contract 3 Months Timings Mon - Fri between 9am - 6pm, 10am - 7pm, and 11am - 8pm (Candidates need to be available for all shifts, will most likely be the 11am - 8pm shift) Qualifications POSITION OVERVIEW The Patient Authorization Rep obtains required referral clearance documentation, verifies insurance benefits, obtains reauthorizations and completes quality assurance audits. ESSENTIAL FUNCTIONS and DUTIES · Obtaining authorizations or overrides as needed · Negotiates pricing as necessary and authorizes patient services. · Phone, Fax, and/or email interactions with payers, patients, and physicians to verify monthly Eligibility Verifications. · Work collaboratively with other associates and supervisor to ensure that best practices are shared. QUALIFICATIONS · High School Diploma, GED or equivalent work experience · 6 months - 1 year relevant experience · Excellent organizational skills · Superior written and verbal communication · Strong interpersonal skills · Ability to adapt in a dynamic work environment ,learns quickly, solve problems and make decisions · Candidates must be Basic in Microsoft Word and Excel. Computer skills are required. · Insurance Company or Specialty Pharmacy experience is a plus. · HMs are looking for candidates with basic administrative/secretarial background · Candidates with insurance background is a plus, but NOT REQUIRED · Shift provided will be Mon-Fri between 8am-5pm and 9am-6pm · This assignment is to assist with a large volume of work that needs to be taken care of · Candidates will probably not have their own cubes, but will work in a large room/hub area If you are available and interested then please reply me with your “ Current Chronological Resume” and call me on ************** . Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W : ************ *************************

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 SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online public and subscription database searches; to conduct various research investigations using specialized techniques and technologies; to analyze results for red flag indicators; to compile results, document findings in detailed, professional reports and make recommendations as appropriate. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs research investigation assignments as requested by examiners, clients or assigned legal counsel. + Conducts thorough search and inspection of available public and subscription database records. + Conducts comprehensive background investigations, medical and other facility canvasses, social media searches, social media monitoring, geo-fencing, skip traces, and other specialized research investigations. + Documents findings in a detailed, professional investigative report. + Identifies, documents and communicates red flag indicators and makes additional handling recommendations as appropriate. + Maintains proper documentation of all relevant facts and evidence pertaining to the case in the appropriate claim handling system(s) and ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable legal codes and statutes to ensure all investigations are conducted in a legal and ethical manner. + Complies with deposition and courtroom testimony appearances as requested. + Conducts training for new team members as requested. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. **Experience** Two (2) years insurance industry experience or equivalent combination of education and experience. **Skills & Knowledge** + Excellent oral and written communication skills + PC literate, including Microsoft Office products + Strong organizational skills + Excellent interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies + Analytical and interpretive skills + Good judgment and discretion skills + Ability to manage multiple assignments and set priorities **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_ **_$19.00- $20.00_** **_per hour._** _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. 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**

Processing different kinds of human specimens like blood, urine and stool.Position Description 90% of time will be accessioning specimens / 10% performing higher level laboratory assistant functions Additional Information For any queries or concerns please call me @ ************.

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 IT Systems Analyst Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : To lead the business analysis efforts for implementations and large, multi-line projects; to review, analyze and document internal and client user needs; and to provide mentorship and leadership within the business analysis team. **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** + Leads the requirements management efforts for large projects to include new client implementations (client facing) and large strategic projects; devises and executes a requirements management plan for assigned projects; and takes ownership of the business analysis role throughout the project. + Identifies and understands stakeholders; initiates and facilitates meetings and discussions with stakeholders as appropriate. + Works with project managers, project requestors, operations, business representatives, IT representatives and clients to ensure complete understanding of software requirements; provides business related IT knowledge to clients and business representatives during the requirements management process. + Produces project requirements documentation, including written documents, process diagrams, report mock-ups, wire frames and other documentation as required, using standard templates. + Meets deadlines and manages work to timelines. + Mentors team members. **QUALIFICATIONS** Bachelor's degree required; major in computer science field preferred. 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 knowledge of third party administration/claims management business and technology + PC literate, including Microsoft Office products + MS SQL experience is preferred + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Excellent negotiation skills + Self motivated + Ability to work in a team environment + Ability and willingness to take initiative + Ability to meet or exceed Performance Competencies **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**

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 Attorney Auditor ** **This is a fully remote position, and candidates residing in any of the 50 United States are encouraged to apply.**** As an Attorney Auditor at Sedgwick, you'll have the opportunity to take on new challenges and help solve complex problems for the world's best brands. + 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, grow your career and your profile. + 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. **PRIMARY PURPOSE OF THE ROLE** The Attorney Auditor reviews legal and non-legal invoices on behalf of our clients for services provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally Accepted Principles and Standards ("GAPS"). **ESSENTIAL RESPONSIBILITIES** + Ability to understand and apply clients' billing guidelines and standards. + Work with client to develop or enhance billing protocol. + Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively manage invoice workflow. + Ability to work independently to finalize and approve legal invoices for payment. + Consistently meet company established performance standards for production. + Work with other team members to jointly meet production objectives/goals. **QUALIFICATIONS** Juris Doctorate (JD) required. Five (5) years of insurance defense or complex litigation experience is required. **TAKING CARE OF YOU** + Wonderful team culture with career development and promotional growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401K and PTO. + Wellness benefits including wellness allowance and life insurance. + Competitive salary with a rewarding bonus structure. + Job security and flexibility; potential to work from home once training is completed. 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. Always accepting applications. _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 (_ $70,000.00 - $75,000.00 + bonus potential _). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ _\#LI-TS1 #remote_ 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**

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 Development Director **PRIMARY PURPOSE OF THE ROLE:** To expand and enhance the company's top line through diligent relationship building and maintenance with prospective clients across an area; to identify and address prospective and existing client opportunities for marketing the company's programs; and to ensure sales goals, objectives and profit margins are met. **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** + Identifies, develops and maintains internal and external relationships/partnerships. + Builds relationships with prospects. + Facilitates the development of new partnerships and the company; facilitates and remains involved in the implementation process ensuring a smooth transition of new client programs. + Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company programs. + Ensures the identification of expertise required addressing individual prospect requirements; identifies resources for prospect solicitation and service teams. + Utilizes the appropriate national resources to facilitate responses and pricing for RFPs, proposals, and presentations. + Manages the design of service programs ensuring client need fulfillment. + Develops and implements an annual sales and service plan including identification of potential client prospects, their needs, and the methodology of presenting company's ability to fulfill those needs. + Meets sales goals of $20-30 million. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** Bachelor's degree from an accredited college or university required. Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or progress towards, CPCU and/or ARM designation required. Experience: Ten (10) years of related experience or equivalent combination of education and experience required to include five (5) years of relationship building in the recall, customer care, warranty support, claims management or risk management area in the Automotive industry. Skills: Excellent oral and written communication, including presentation skills, excellent interpersonal skills, PC literate, including Microsoft Office products, strong organizational skills, excellent negotiation 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 **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. _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 ($110,000 USD - $150,000 USD, plus sales incentive plan). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ \#LI-TS1 #remote Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. 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**

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. Medicare Associate **** + Set up new Medicare Lien Resolution (MLR) referrals in the Medicare Compliance System + Electronically sort and index Medicare mail in the SIR and Medicare Compliance systems + Responds to questions from examiners about Medicare Compliance processes and products + Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to manage workload and monitors due dates. + Communicates with examiners and defense counsel to resolve technically difficult issues related to obtaining medial records + Assists in training new departmental colleagues + Assists with special client projects as needed. **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** One (1) year of general office experience required. Claims or medical records/billing industry experience preferred. Two (2) years of experience as Medicare Associate required. Internal candidates - Minimum 3.25 on most recent performance appraisal. **Skills & Knowledge** + Excellent oral and written communication skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Ability to work in a team environment and independently + 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. 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**

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 Senior Disability Clinical Specialist **PRIMARY PURPOSE** **:** To perform standard and complex clinical evaluations as determined by clinical screenings and patient assessments. To consult providers and employees by providing case direction. Ensures medical information corroborates the need for employee absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs and completes complex clinical reviews of referred medical claims to ensure accurate information is received by employees and providers + Makes regular timely, appropriate contact with employees and/or providers to discuss clinical status, progress, and work status. + Substantiates disability and provides follow-up recommendations for ongoing medical management of claims + Ensures appropriate recommendations are made on claims. + Assists with clinical training, onboarding, examiner presentations, and processes change assessments + Assists with updating clinical teamsite and training references. + Analyzes work queues and assignment workloads to ensure appropriate requirements are met + Assists with escalations + Acts as a backup for the team lead and mentors less experience specialists. **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. Current RN Licenses are required. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquitision of the necessary CEUs to maintain licenses and designations. **Experience** Six (6) years of related experience or equivalent combination of education and experience required. **Skills & Knowledge** + Excellent oral and written communication skills, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent interpersonal skills + Proven management/leadership skills + Excellent negotiating skills + Ability to create and complete comprehensive, accurate and constructive written reports + 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. 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**

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 VB.Net Middleware Developer Join us in delivering cutting-edge technology solutions for the world's best brands. * Apply your IT knowledge and experience to solve complex and constantly evolving technology challenges in the context of an energetic, entrepreneurial culture. * Work on Sedgwick's industry-leading proprietary technologies and platforms - with like-minded technology experts aligned on the same goals. * Deliver innovative customer-facing technology solutions to clients who represent virtually every industry and comprise some of the world's most respected brands. * Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. * 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. PRIMARY PURPOSE OF THE ROLE: To develop, maintain and support software using expertise in VB.Net, MS SQL, with a willing to learn Salesforce and APEX coding. Work in a Windows Server environment using integrated development environments like Visual Studio/Code or similar technologies. This role involves supporting existing high transaction applications and data flow between external systems via API/SFTP, middleware processing servers and Salesforce. Salesforce Maps, Salesforce Field Service Lightning, and Salesforce Community expertise highly desirable or a willingness to learn. 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 * Gain deep familiarity with key application modules, including reports, parameters, claims management, intake services, IIS Servers, SQL Servers and Salesforce Environment. * Analyze user needs and assist in designing specifications to meet those needs. * Develop and modify software based on data processing requests. * Ensure compliance with insurance carrier and regulatory requirements through software development. * Test and debug assigned projects; assist in testing projects developed by other team members. * Prepare and maintain documentation for new and existing software. * Investigate and resolve escalated support issues, including data and software corrections. * Troubleshoot and investigate issues that may arise with IIS Servers, SQL Database or network infrastructure. * Stay current with advancements in programming languages, frameworks, and emerging software development technologies. * Follow departmental standards and guidelines for software design and development. * Deliver and maintain high-quality customer service. * Be a team player and will need to be proactive at problem solving Skills & Knowledge * Knowledge of Windows Server, SharePoint, Active Directory, DNS, IIS, SQL * Proficiency in: * VB.NET * SQL Server * Application Programming Interfaces (APIs) * Secure File Transfer Protocol (SFTP) * Salesforce / Salesforce Maps / Field Services Lightning Module * Familiarity with: * Power APP/Automate and Power BI (a plus) * Visual Studio and Visual Studio Code QUALIFICATIONS * Bachelor's degree from an accredited college or university highly desirable. * Preferred major: Information Systems or Computer Science. 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 #VB.Net #Salesforce 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 po y 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.

Business Accounting Clerk Visa GC/Citizen Division Pharmaceutical Pay Negotiable . Contract 6 Month Temp To Hire Timings Mon - Fri between 8.30AM - 5.30PM Qualifications Responsible for the reconciliation of and recommendation of disposition for assigned accounts with unapplied cash and/or duplicate payment notation or disputes. Post cash via the cash posting program Open Scan, validate and scan live checks to bank through virtual remit. Process credits/adjustments and credit card transactions. Understanding of cash processes as it relates to the general ledger and its impacts. Strong knowledge/use of excel spreadsheets and office applications. Previous experience in AS400 based system a plus. Various other cash related duties as needed/required. Need to have 2 years of experience in Cash/Accounts Receivable-posting and reconciliations Experience with 10-key/calculator, computer knowledge, AS400 helpful TESTING Data Entry (must have little to no error %) If you are available and interested then please reply me with your “ Chronological Resume” and call me on ************** . Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W : ************ *************************

Prepares laboratory specimens (blood, urine, stool and others) for designated departments/locations prior to laboratory analysis and testing. Additional Information Pushkaraj Hachibatti | Mindlance, Inc. | Office- ************

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 Mgr IT Applications Join us in delivering cutting-edge technology solutions for the world's best brands. + Apply your IT knowledge and experience to solve complex and constantly evolving technology challenges in the context of an energetic, entrepreneurial culture. + Work on Sedgwick's industry-leading proprietary technologies and platforms - with like-minded technology experts aligned on the same goals. + Deliver innovative customer-facing technology solutions to clients who representvirtually every industry and comprise some of the world's most respected brands. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + 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. **PRIMARY PURPOSE OF THE ROLE** : To manage activities associated with software development in a business environment; to be responsible for management and development activities for a group, section or product; and to be responsible for feasibility studies, time and cost estimates, and the establishment and implementation of applications, systems and programs. ESSENTIAL RESPONSIBILITIES MAY INCLUDE + Manages software development team(s) and activities associated with project development/implementation as assigned. + Assists in projecting software and hardware requirements across multiple platforms and technologies; displays strong depth of knowledge in specific business subject areas. + Responsible for feasibility studies, time and cost estimates, and the establishment and implementation of new or revised applications, systems and programs. + Consults with and directs colleagues in other information systems sections to coordinate activities. + Prepares and provides activity and progress reports to management regarding the activities of the applications systems and programming section. + Manages development colleagues including answering questions, setting priorities, establishing goals and meeting deadlines. + Responsible for managing timely deliverables for assigned projects, including serving in role of project manager as assigned; ensures all projects follow Sedgwick software development lifecycle (SDLC). + Defines projects through research and discussions or meetings with corporate management, business partners and clients. + Monitors and maintains data integrity. + Thorough knowledge of systems and development and project management **QUALIFICATIONS** + Bachelor's degree with major in IS or Management required. Major in Information Systems or Management strongly preferred. + Ten (10) years of related experience or equivalent combination of education and experience required to include five (5) years of systems and development experience and three (3) years supervisory or project management experience required. + Detailed knowledge of PL/SQL & Oracle Database development + Detailed knowledge of Oracle PL/SQL Run Time improvement + Detailed knowledge of Near Real Time Oracle ETL processes a plus + Experience in ETL PL/SQL development a plus + Experience in documenting ETL Technical Design a plus **This position requires proven hands-on experience with Oracle PL/SQL and ETL.** **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 \#LI-TS1 **NOTE** **:** Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **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**

Business Claim Specialist Visa GC/Citizen Division Pharmaceutical Pay $16.00/hr. Contract 5 Month Timings Mon - Fri between 9.00AM - 6.00PM The primary function/purpose of this job. Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside the client. Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team. ESSENTIAL FUNCTIONS: The 6-10 major responsibility areas of the job. Weight: (%) (Total = 100%) 1. Manage member and client expectations related to claim reimbursements. Input claim requests into adjudication platform maintaining compliance to performance guarantees, HIPAA guidelines and service standards, which include production and accuracy standards. Processing according to client guidelines making exceptions upon member appeal and client approval. Recognize and escalate appropriate system crises/problems and fraudulent claims to management. 40 % 2. Identify claims requiring additional research, navigate through appropriate system platforms to perform research and resolve issue or forward as appropriate 15 % 3. Research to define values for missing information not submitted with claim but required for processing. Identify drug form, type and strength to manually determine correct NDC number value which will allow claim to process. Continue researching values if system editing does not accept original assigned value. Utilize anchor platform, internet resources and/or contacting retail pharmacist as resources for missing values. 15 % 4. Initiate correspondence to members, pharmacies or other internal departments for missing information, claim denials or other claim issues. 15 % 5. Evaluate claim submission, ensure all required information is present and determine what action should be taken. Confirm patient eligibility and verify patient information matches system. Update member's address to match claim form if necessary. 5 % 6. Identify exception handling and process per client requirements. Monitor system to ensure client specific documentation related to claims processing and benefits is current and system editing is operating appropriately. 5 % 7. Variety of other miscellaneous duties as assigned 5 % SCOPE OF JOB Provide quantitative data reflecting the scope and impact of the job - such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc. Maintain an average of 30 Commercial claims per hour (cph) or 35 Work Comp claims per hour (cph). Qualifications Formal Education and/or Training: High school diploma or equivalent required, some college or technical training preferred Years of Experience: Two years' experience in P.B.M. environment is helpful but not required. Computer or Other Skills: Strong data entry, 10-key skills, general PC skills and MS Office experience Knowledge and Abilities: • Strong data entry and 10-key skills • Retail pharmacy, customer service experience helpful but not required • PC and MS Office literate • Strong attention to detail • Excellent retention and judgment ability • Proficient written and oral communication skills • Ability to work in fast-paced, production environment • Reliable, self-motivated with excellent attendance • Team player who has the ability to stay on task with little supervision Additional Information Thanks & Regards, Ranadheer Murari | Recruitment Executive | Mindlance, Inc. | W : ************ ***************************

The Credit Analyst will review and analyze and set up new accounts for order to be placed via DNB reports, bank references, credit application and licensure according to our pnp's. Knowledge of AS400 and Getpaid systems helpful. Excel/Microsoft Office needed. Experience in analyzing and assigning terms and credit limits to new customers and/or reviewing established customers info according to process. Qualifications Please, find below the detailed Job description. I would really appreciate if you can reply me with an updated copy of your resume, if interested. Job Title : Credit and Collection Analyst Job Location : 255 Technology Park Lake Mary , FL 32746 Duration : 6 months Shift : Monday - Friday 11am to 8pm. EST Additional Information Thanks & Regards Mahesh Kumar B Contact: ************ E-mail :maheshk@mindlance(DOT)com