SIU Field Services Consultant
Recruiting Only - Telecommuter
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. Itās an opportunity to do something meaningful, each and every day. Itās 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.Ā
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 youāre someone who cares, thereās a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to WorkĀ®
Most Loved WorkplaceĀ®Ā
Forbes Best-in-State Employer
PRIMARY PURPOSE:Ā To lead investigative assignments within a specified region; to ensure quality and timely handling of assignments; to notify vendor manager when vendor trends and issues are identified.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Leads assignments within a specified region and implements investigative strategy.
- Provides tactical/jurisdictional direction to investigators.
- Ensures quality and timely handling of assignments and recommends additional investigative activities when appropriate.
- Develops and maintains positive relationships with vendor partner case managers and maintains contact with the claims team
- Performs quality review to ensure assignment objectives are met and in compliance with quality standards and client protocol.
- Reviews final deliverables and bills according to program fee schedule.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
Bachelorās degree from an accredited college or university preferred.
Experience
Six (6) years investigative industry experience or equivalent combination of education and experience.
Skills & Knowledge
- Thorough knowledge of claims investigation processes for multiple product lines
- Excellent interpersonal and negotiation skills
- Excellent oral and written communication skills
- PC literate, including Microsoft Office products
- Strong organizational skills
- Analytical and interpretive 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:Ā Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability ā¦
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RestrictionsTelecommuter
Benefits/Perks401(k) Comprehensive benefits Comprehensive benefits package Dental Disability Disability Insurance Employee assistance Flexibility Health savings account Life Insurance Medical PTO Vision
Tasks- Perform quality reviews
- Travel as required
Analytical Claims investigation Communication Compliance Discretion Flexibility Interpersonal Interpretive Investigation Microsoft Office Microsoft Office products Negotiation Oral communication Organizational PC literate Performance competencies Quality review Teamwork Troubleshooting Written communication
Experience6 years
Education