Sedgwick LLP jobs in West Des Moines, IA - 43 jobs
Field Case Manager-Sign-On Bonus Eligible
Sedgwick 4.4
Sedgwick job in Des Moines, 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
Field Case Manager-Sign-On Bonus Eligible
**We are growing all across the US and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5 years of prior Workers Compensation experience in order to be considered.**
**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 bachelor's 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 a blended work environment.
+ 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 package including:
+ Three Medical, and two dental plans to choose from.
+ Tuition reimbursement eligible.
+ 401K plan that matches 50% on every $ you put in up to the first 6% you save.
+ 4 weeks PTO your first full year.
**NEXT STEPS**
If your application is selected to advance to the next round, a recruiter will be in touch.
\#nurse #fieldcasemanager
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 $80,000-$95,000/quarterly bonus eligibility and Sign on Bonus Eligible. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. _"Always accepting applications."_
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**
$80k-95k yearly 60d+ ago
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Sr. Executive General Adjuster - Midwest Region
Sedgwick 4.4
Sedgwick job in Des Moines, 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**
$60k-106k yearly est. 60d+ ago
Software Developer
Mindlance 4.6
Urbandale, IA job
Mindlance is a national recruiting company which partners with many of the leading employers in IT, financial services, engineering, semiconductor, clinical and pharmaceutical domains. You can learn more about us at *****************
.
Job Description
Position Details:
Position: Software Developer
Location: Urbandale, IA
Duration: 05+ months
Description:
Looking for full stack developers to focus on both frontend and backend needs. Required: Java, JavaScript, React, .NET. Preferred: Node.js.
The team will be working to expand the Operations Center's capabilities to bring in new data sources, focusing specifically on ISOXML formats that are used by various 3rd party displays.
As part of this expansion, the team will also develop a conflict resolution interface that supports missing data, as well as batch editing.
The team will receive UX specifications, non-functional requirements, architectural guidance and prioritization of features from the Runway Team.
They will also be working with a Deere-provided Product Owner to help manage the backlog, including story breakdown. The team will be responsible for story estimation, sprint-to-sprint commitments of work, code development and testing (TDD), support of defects related to these features and functionality.
Additional Information
All your information will be kept confidential according to EEO guidelines.
$69k-88k yearly est. 3d ago
Data Analyst Manager
Sedgwick 4.4
Sedgwick job in Des Moines, 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**
$57k-76k yearly est. 51d ago
Concierge/Performance Associate
Sedgwick 4.4
Sedgwick job in Des Moines, 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
Concierge/Performance Associate
**PRIMARY PURPOSE:** To assist Property Repair Solutions customers (homeowners, contractors, carriers) with any questions or concerns they may have and/or the work being done by the program contractors; to ensure that all customer expectations are met and/or exceeded to the best of our ability.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
· Receives, reviews and dispatches new jobs to contractors based on job type and location.
· Places outbound calls to sell programs to customers, assigns contractors, makes customer appointments, provides assistance to insurance adjusters, and sets up program expectations.
· Monitors pending jobs and makes follow-up calls to homeowners to ensure that the process is going smoothly and answers questions as needed.
· Receives inbound calls to answer customer service questions, resolve minor issues, and schedule appointments for customers with contractors or escalate issues to the proper channels.
· Attendance during scheduled work hours is required.
**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 experience in construction management, restoration and/or insurance claims and customer service required. Chronicle software experience preferred.
**Skills & Knowledge**
· Excellent oral and written communication skills
· PC literate, including Microsoft Office products
· Good problem resolution skills
· Good judgment and sound decision making skills
· Ability to build a consensus among various parties
· Strong relationship building skills
· Excellent organizational skills, accuracy, and attention to detail
· Initiative and ability to multi-task
· Above average speed and accuracy key stroke skills
· High level of professionalism
· Ability to work under pressure in a fast paced environment and maintain a positive demeanor
· Ability to work independently or in a team environment
· Ability to meet or exceed Performance Competencies
· Bi-lingual English/Spanish a plus.
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental:** Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical:** Computer keyboarding, travel as required
**Auditory/Visual:** Hearing, vision and talking
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/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always accepting applications._
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**
$16 hourly 17d ago
Business Development Director
Sedgwick 4.4
Sedgwick job in Des Moines, 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 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**
$110k-150k yearly 14d ago
Disability Clinical Specialist
Sedgwick 4.4
Sedgwick job in Des Moines, 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 Clinical Specialist
**PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee absence from work.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information is received by employees and providers to support the claim request and documents decision rationale.
+ Completes medical review of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information substantiates disability and to interpret the impact the condition has on the ability to perform job functions.
+ Communicates clearly and professionally, on the phone and/or in writing with employee and/or providers to discuss employee's clinical status, progress, and work status.
+ Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims.
+ Consistently achieves appropriate quality audit scores.
+ Acts as clinical resource to claims examiners to provide guidance on the medical management of claims including comprehension of medical terminology and substantiating claim decisions.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Acts as a backup for key disability claims on an ad hoc basis.
+ Performs other duties as assigned.
+ Travels as required.
**QUALIFICATIONS**
**Education & Licensing**
Bachelor's degree or equivalent preferred. Current RN, CRC, LPC and/or LCSW Licenses required. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations.
**Experience**
Four (4) years of related experience or equivalent combination of experience and education required to include experience in a direct medical/psychological setting or physical industrial medicine and previous insurance or related experience.
**Skills & Knowledge**
+ Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation)
+ 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 and critical thinking 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:** 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
Always accepting applications
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
_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_ _$62,000-$63,000 USD Annual_ _. 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-63k yearly 60d+ ago
Claims Assistant - West Des Moines, IA
Sedgwick 4.4
Sedgwick job in West Des Moines, 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 Assistant - West Des Moines, IA
Our teams connect! We collaborate in the office.
Our West Des Moines office is located at: 4200 University Avenue, Suite 317 West Des Moines, IA 50266-5945
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: To provide support to the claims staff and to perform other office tasks depending on the client program.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Sets up and enters new claims into claims management system.
Inputs and reviews notes/diaries in claims management system as instructed.
Processes payments.
Processes mail; handles filing, faxing and photocopying.
Reviews, prepares, creates, and/or sends letters, reports, and forms.
Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.
Other activities/projects as assigned including the preparation and distribution of computer reports.
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
Six (6) months of clerical or customer service experience or equivalent combination of education and experience required.
Skills & Knowledge
Excellent oral and written communication
PC literate, including Microsoft Office products
Strong organizational skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
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 $15.00/hr. 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.
$15 hourly Auto-Apply 60d+ ago
Claims Examiner - Workers Compensation | California Experience
Sedgwick 4.4
Sedgwick job in Des Moines, 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 | California Experience
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?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
**PRIMARY PURPOSE OF THE ROLE:** To analyze High-Level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
+ Negotiating settlement of claims within designated authority.
+ Communicating claim activity and processing with the claimant and the client.
+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
**QUALIFICATIONS**
**Education & Licensing:** 5+ years of claims management experience or equivalent combination of education and experience required.
+ High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
+ Professional certification as applicable to line of business preferred.
**Licensing / Jurisdiction Knowledge:** Active California WC license or SIP license highly 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.
_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 $75,000 - $95,000/yr._ _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. #claimsexaminer #claims #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**
$75k-95k yearly 60d+ ago
Information Security Engineer / Analyst
Mindlance 4.6
Johnston, IA job
Mindlance is a national recruiting company which partners with many of the leading employers in IT, financial services, engineering, semiconductor, clinical and pharmaceutical domains. You can learn more about us at *****************
.
Job Description
·
3-7 years of experience in Information Security focusing on security solution design, engineering, implementation and assurance.
·
3-5 years of experience defining and managing the implementation of controls to address access security and IT control requirements.
·
3-5 years of experience working with Information Security and IT general controls, including experience defining and documenting controls using COBIT 4.1 or 5.0, the NIST Cybersecurity Framework, the ISO 27k framework, the SANS 20 critical controls or similar experience.
·
Deep understanding of Information Security technologies including firewalls, IDS/IPS, Password Vaults, CASBs, SIEM, IT GRC, DLP, etc.
·
Understanding of the regulatory environment and experience with regulators.
·
Comfort delivering tasks and assignments in an evolving and a maturing environment.
·
Application security experience and corresponding technologies (e.g. Jenkins).
·
Experience with the FFIEC Cyber Security Assessment Tool.
·
Applicable certifications (e.g. CISSP, CISA, CISM, CGEIT, CRISC).
Additional Information
All your information will be kept confidential according to EEO guidelines.
$64k-81k yearly est. 3d ago
Claims Team Lead - Liability | BI and GL | Jurisdiction: All States | Licensing: TX/FL preferred
Sedgwick 4.4
Sedgwick job in West Des Moines, 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 Team Lead - Liability | BI and GL | Jurisdiction: All States | Licensing: TX/FL preferred
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 supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.
OFFICE LOCATION: This position will be based in either our Omaha, NE office or our Des Moines, IA office.
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
Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.
Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.
Provides technical/jurisdictional direction to examiner reports on claims adjudication.
Compiles reviews and analyzes management reports and takes appropriate action.
Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.
Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.
Assures that direct reports are properly licensed in the jurisdictions serviced.
Ensures claims files are coded correctly and adequate documentation is made by claims examiners.
Performs other duties as assigned.
Supports the organization's quality program(s).
SUPERVISORY RESPONSIBILITIES
Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
Provides support, guidance, leadership and motivation to promote maximum performance.
QUALIFICATIONS
Education 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
Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
Jurisdiction: All States
Licensing: TX or FL and reciprocals preferred; will sponsor licensing for states as needed.
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.
$46k-80k yearly est. Auto-Apply 11d ago
ADA Accommodation Specialist
Sedgwick 4.4
Sedgwick job in Des Moines, 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 Specialist
**PRIMARY PURPOSE** : To enhance the ADA process for claimants requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate restrictions as required under the ADAAA, state and/or client requirements.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Reviews medical information for ADAAA temporary and permanent accommodation requests.
+ Approves and/or negotiates accommodations as written; renegotiates reasonable alternative accommodations, or denies restrictions based on lack of supporting documentation through correspondence with physician, colleague, department and other key stakeholders.
+ Maintains regular contact with colleagues, supervisors, health care providers, and other key stakeholders regarding progress and status of accommodations; assists in the resolution of any challenges related to the accommodations.
+ Conducts interactive discussions with claimants and employers, assists in answering/resolving any follow-up questions/issues and helps identify clarifications, when needed, from health care providers.
+ Acts as a subject matter expert and resource to supervisors, colleagues, union, or physicians regarding accommodation/work restriction issues and processes. Provides advice and counsel as appropriate and acts as a liaison between all parties when necessary.
+ Ascertains the specific physical tolerances and vocational skills needed for particular employment positions; makes decisions or assists case management staff in making decisions regarding a client's competence in performing a particular position.
+ Adheres to all medical and legal regulations and accreditation standards.
+ Reviews the essential job functions provided by the employer along with restrictions/limitations provided by the claimant and their treating provider to confirm the claimant can meet the essential functions with or without the accommodation(s) requested.
+ Contacts employers to obtain specific information regarding an area of employment, i.e., training or education needed, physical demands, wages and benefits, and availability.
+ Thoroughly reviews contested claims.
+ Assists as needed with submission of accommodation recommendations to employers for consideration.
+ Works closely with other members of team to: a) ensure smooth transition from medical case management into job placement; and/or b) discuss the progress on each case suggesting changes in rehabilitation plans.
+ Documents contacts in claim notes; prepares reports and/or forms documenting the results of research/negotiations performed; and tracks disposition decisions.
**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 in nursing, social work or vocational rehabilitation is preferred. At least one of the following licenses or certifications is required: RN, or CRC.
**Experience**
Four (4) years of related experience or equivalent combination of experience and education required. Medical disability or vocational rehabilitation experience preferred.
**Skills & Knowledge**
+ 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
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 $29.00-$31.00 USD_ _. 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**
$29-31 hourly 17d ago
CAT Repair Solution Site Auto Appraiser
Sedgwick 4.4
Sedgwick job in Des Moines, 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
CAT Repair Solution Site Auto Appraiser
**PRIMARY PURPOSE** **:** To inspect, identify, and evaluate auto vehicles involved in a loss.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Appraises and determines costs of repairs to damaged vehicle in the field; determines repair versus replace and parts utilization.
+ Evaluates and determines if the vehicle is repairable or salvageable based on industry standard estimating software.
+ Travels to inspection locations to appraise vehicles in the field.
+ Prepares estimates using estimating software.
+ Works directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Travel up to 75% as required.
+ Greeting Customer and Explaining the Scan Estimating and Repair Process
+ Triage vehicle (Photo's Upload, Damage Part, Related Paint Damage and Prior Damage
+ Manually inspect vehicles that do not qualify for Scanning
+ Assist Tech Scanner with Vehicle Scanning (Drive vehicle into scanner and return vehicle to customer)
+ Soft sell repair process and explain the program benefits
+ Off-season requirement, support local appraiser coverage, desk review and quality assurance team
**QUALIFICATIONS**
**Education & Licensing**
High school diploma or GED required. Licenses as required by state guidelines.
**Experience**
Three (3) years of related experience to include at least one (1) year of appraisal experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Strong knowledge of automobiles
+ Ability to understand and utilize appraisal software
+ PC literate, including Microsoft Office products
+ Strong organizational skills
+ Excellent interpersonal skills
+ Excellent negotiating 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:** 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, reach/work 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; and 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 $56,000-$72,000/year_ _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always accepting applications._
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**
$56k-72k yearly 14d ago
RN Clinical Consultation
Sedgwick 4.4
Sedgwick job in Des Moines, 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
RN Clinical Consultation
**We are looking to add 6 nurses; If you can work any of these shifts, please apply:**
**1 nurse 8pm-4am CST, 1 nurse 2pm-10:30pm CST and 4 nurses 12pm -8:30pm CST.**
**PRIMARY PURPOSE OF THE ROLE:** To triage calls to assess needs, giving appropriate care advice and disposition to appropriate level of care treatment while promoting cost-effective outcomes and safely facilitate return to work.
**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.
+ Enjoy flexibility in 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**
+ Applies all phases of the nursing process, i.e. assessment, planning, implementation and evaluation when triaging calls.
+ Identifies the needs of caller by triaging, obtaining general health information and/or physician services referral.
+ Evaluates need for alternative treatment through telephonic contact and assessment with service provider.
+ Triages patient using defined triage protocols to obtain pertinent data; and enters data into computer system.
+ Identifies life-threatening emergencies and recommends appropriate interventions.
+ Refers issues requiring physician interventions to physician in a timely manner; directs patients to appropriate level of care including but not limited to the nearest emergency room, urgent care facility, primary treating physician or selfcare. Demonstrates effective verbal communications skills.
+ Adheres to quality assurance standards.
+ Serves as resource to triage team members.
**EDUCATION AND LICENSING**
Bachelor's degree in nursing (BSN) preferred. Active unrestricted RN compact licensure required along with two year (2) years of recent clinical practice experience. Should be proficient in multiple screens and multiple computer applications,.
**TAKING CARE OF YOU BY**
+ Seeks innovative customer solutions .
+ Craves cutting edge opportunities.
+ Wants dynamic company culture.
+ Passion about creativity.
+ Seeks ongoing learning as a person and professional.
+ Thrives when solving challenging problems.
+ Wants achievements to be celebrated.
+ 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
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $68,000-$70,000. 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._
Always accepting applications
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**
$68k-70k yearly 60d+ ago
Specialty Loss Adjuster
Sedgwick 4.4
Sedgwick job in Des Moines, 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
Specialty Loss Adjuster
**Embark on an Exciting Career Journey with Sedgwick Specialty**
**Job Location** **: USA, Mexico, Brazil and strategic locations globally**
**Job Type** **: Permanent**
**Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.**
**We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations**
We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction.
Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry.
**As a member of the Specialty platform, you will have the opportunity to:**
+ Work with a wide range of clients across the globe, handling complex cases and claims
+ Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results
+ Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency
+ Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry
+ Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success
**The skills you will have when you apply:**
+ **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience
+ **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must
+ **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically
+ **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage
**What we'll give you for this role:**
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 annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always Accepting Applications.
**This isn't just a position, it's a pivotal role in shaping our industry**
At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education.
Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry.
**Next steps for you:**
**Think we'd be a great match? Apply now -** ** we want to hear from you.**
As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.
After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person).
\#LI-HYBRID
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**
$40k-52k yearly est. 60d+ ago
Sr IT Security Advisor
Sedgwick 4.4
Sedgwick job in Des Moines, 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**
$90k-111k yearly est. 60d+ ago
Claims Associate - Recovery
Sedgwick 4.4
Sedgwick job in West Des Moines, IA
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
Claims Associate - Recovery
**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
**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
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:** Processes and reviews subrogation claims across all lines of business and all jurisdictions within an entry level caseload and processes payment checks received in accordance with company check processing guidelines; processes the regular monthly payment recovery files; coordinates with collection agencies; and supports the Claims Recovery Team within company standards and industry best practices.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Responsible for assigned inventory of subrogation files with recovery.
+ Maintains a monthly diary on cadence, aligned to department service expectations and schedules; follows up to ensure timely payment.
+ Processes recoveries into various claims systems to ensure the recovery dollars are applied to appropriate claims file.
+ Works with collections agencies when appropriate to collect from at-fault parties and records details in claims file.
+ Uses technology and resources, as needed, to complete investigation.
+ Responds to clients' questions timely and professionally.
+ Approves and/or pays bills as appropriate.
+ Prepares various type status reports for clients.
**ADDITIONAL FUCNTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
**QUALIFICATIONS**
**Education & Licensing**
High school diploma or GED required.
**Experience**
Two (2) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
**Skills & Knowledge**
+ Excellent oral and written communication skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Good interpersonal skills
+ Ability to meet or exceed Service Expectations
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** **:** Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical** **:** Computer keyboarding
**Auditory/Visual** **:** Hearing, vision and talking
**NOTE:** Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**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**
$30k-35k yearly est. 60d+ ago
Business Consultant
Sedgwick 4.4
Sedgwick job in Des Moines, 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. 34d ago
Claims Specialist, Professional Liability (Medical Malpractice)
Sedgwick 4.4
Sedgwick job in Des Moines, 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 Specialist, Professional Liability (Medical Malpractice)
**PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult medical malpractice 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.
+ Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
+ Negotiates claim settlement up to designated authority level.
+ Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
+ Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
+ Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
+ Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
+ Represents Company in depositions, mediations, and trial monitoring as needed.
+ Communicates claim activity and processing with 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.
+ Delegates work and mentors assigned staff.
**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. Licenses as required. Professional certification as applicable to line of business preferred.
**Experience**
Six (6) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent negotiation skills
+ 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
_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_ **_$117,000 - $125,000_** _. 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.
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**
$27k-34k yearly est. 10d ago
Claims Team Lead - Workers Compensation | California Experience
Sedgwick 4.4
Sedgwick job in Des Moines, 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 Team Lead - Workers Compensation | California Experience
**PRIMARY PURPOSE:** To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.
+ Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.
+ Provides technical/jurisdictional direction to examiner reports on claims adjudication.
+ Compiles reviews and analyzes management reports and takes appropriate action.
+ Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
+ Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.
+ Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.
+ Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
+ Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.
+ Assures that direct reports are properly licensed in the jurisdictions serviced.
+ Ensures claims files are coded correctly and adequate documentation is made by claims examiners.
+ 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. Licenses as required. Professional certifications as applicable to line of business preferred.
**Licensing/Jurisdictions:** California
**Experience**
Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
** ** **Skills & Knowledge**
+ Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
+ Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
+ Provides support, guidance, leadership and motivation to promote maximum performance.
**SUPERVISORY RESPONSIBILITIES**
+ Thorough knowledge of claims management processes and procedures for multiple product lines
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Leadership/management/motivational skills
+ Analytical and interpretive skills
+ Strong organizational skills
+ Excellent interpersonal skills
+ Excellent negotiation skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental** : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical:** Computer keyboarding, travel as required
**Auditory/Visual:** Hearing, vision and talking
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 $95,000 - $110,000/yr. 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**