This page is optimized for mobile devices, if you would prefer the desktop version just
click here
Company:
Sedgwick
Posted: June 28, 2024
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
No-Fault/PIP/NJ SAIP Injury Examiner
• PRIMARY PURPOSE
• :
• Investigates, negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements. Responsible for the input of claim data and guiding insureds and claimants through the claim process and options.
• ESSENTIAL FUNCTIONS and RESPONSIBILITIES
• + Manages claims and adjusts moderately complex to complex, PIP/Med Pay, claims across multiple jurisdictions.
• Investigates loss details, evaluates, negotiates, and resolves claims within appropriate authority guidelines; maintains a high level of productivity, confidentiality, and customer service.
• Reviews assigned files and claim instructions for proper claim handling, establishes reserves and issues payment based on claim details and claim damages.
• Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.
• Prioritizes assigned claims workload to keep policyholders and other involved parties informed and provides timely claims status updates.
• Serves as a subject matter expert on of state laws, regulations, statutes, and procedures to ensure proper handling of assigned claims.
• Delivers best in class claim service through setting appropriate expectation proactive communications with customers, brokers, and other claim professionals throughout the claims process.
• Works independently within significant limits and authority on assignments of higher technical complexity and coordination.
• Identifies possibly suspicious claims.
• Takes recorded statements.
• Identifies, confirms, and makes coverage decisions on complex claims.
• Supports team members to resolve issues and identify appropriate matters for escalation.
• ADDITIONAL FUNCTIONS and RESPONSIBILITIES
• + Performs other duties as assigned.
• Travel as required
• QUALIFICATIONS
• Education & Licensing
• Bachelor's degree from an accredited college or university preferred. Licenses as required.
• Experience
• Six (6) years of related experience, to include three (3) years of PIP/Med pay adjusting experience, or equivalent combination of education and experience required.
• Skills & Knowledge
• + Deep knowledge and understanding of the auto claims contract as well as application of case law, state laws and regulations
• Ability to interface with internal and external customers in a pleasant manner on an ongoing basis
• Ability to maintain discretion in business relationships and exercise sound business judgement
• Excellent oral and written communication skills, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiating skills
• Ability to create and complete comprehensive, accurate and constructive written reports
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
• WORK ENVIRONMENT
• When applicable and appropriate, consideration will be given to reasonable accommodations.
• Mental
• Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
• Physical
• Computer keyboarding, travel as required
• Auditory/Visual
• Hearing, vision and talking
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.
• Pay Transparency:
• 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 60,250.00 . A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
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.
• Taking care of people is at the heart of everything we do. Caring counts
• Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (outube.com/watch?v=ywxedjBGSfA)
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
No-Fault/PIP/NJ SAIP Injury Examiner
• PRIMARY PURPOSE
• :
• Investigates, negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements. Responsible for the input of claim data and guiding insureds and claimants through the claim process and options.
• ESSENTIAL FUNCTIONS and RESPONSIBILITIES
• + Manages claims and adjusts moderately complex to complex, PIP/Med Pay, claims across multiple jurisdictions.
• Investigates loss details, evaluates, negotiates, and resolves claims within appropriate authority guidelines; maintains a high level of productivity, confidentiality, and customer service.
• Reviews assigned files and claim instructions for proper claim handling, establishes reserves and issues payment based on claim details and claim damages.
• Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.
• Prioritizes assigned claims workload to keep policyholders and other involved parties informed and provides timely claims status updates.
• Serves as a subject matter expert on of state laws, regulations, statutes, and procedures to ensure proper handling of assigned claims.
• Delivers best in class claim service through setting appropriate expectation proactive communications with customers, brokers, and other claim professionals throughout the claims process.
• Works independently within significant limits and authority on assignments of higher technical complexity and coordination.
• Identifies possibly suspicious claims.
• Takes recorded statements.
• Identifies, confirms, and makes coverage decisions on complex claims.
• Supports team members to resolve issues and identify appropriate matters for escalation.
• ADDITIONAL FUNCTIONS and RESPONSIBILITIES
• + Performs other duties as assigned.
• Travel as required
• QUALIFICATIONS
• Education & Licensing
• Bachelor's degree from an accredited college or university preferred. Licenses as required.
• Experience
• Six (6) years of related experience, to include three (3) years of PIP/Med pay adjusting experience, or equivalent combination of education and experience required.
• Skills & Knowledge
• + Deep knowledge and understanding of the auto claims contract as well as application of case law, state laws and regulations
• Ability to interface with internal and external customers in a pleasant manner on an ongoing basis
• Ability to maintain discretion in business relationships and exercise sound business judgement
• Excellent oral and written communication skills, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiating skills
• Ability to create and complete comprehensive, accurate and constructive written reports
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
• WORK ENVIRONMENT
• When applicable and appropriate, consideration will be given to reasonable accommodations.
• Mental
• Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
• Physical
• Computer keyboarding, travel as required
• Auditory/Visual
• Hearing, vision and talking
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.
• Pay Transparency:
• 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 60,250.00 . A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
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.
• Taking care of people is at the heart of everything we do. Caring counts
• Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (outube.com/watch?v=ywxedjBGSfA)
Read the full job description and apply online on the recuiter's web-site
Related Job Postings
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Travel Nurse RN - Home Health 1 619 per week
Company:
Supplemental Health Care
Posted: June 29, 2024
Supplemental Health Care is seeking a travel nurse RN Home Health for a travel nursing job in Mason City, Iowa. & Requirements • Specialty: Home Health • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • Employment Type: Travel • As one of the largest Healthcare jobs placement agencies in the
read more...
CDL A OTR Lease Purchase Truck Drivers - Avg Annual Earnings of $225k
Company:
Soar Transportation Group
Posted: April 1, 2024
NEW RATE INCREASE • $1.40/PER LOADED MILE PLUS MAJOR FUEL DISCOUNTS PASSED ON TO YOU AVERAGE ANNUAL EARNINGS OF $225,000 2022 - 2025 Freightliners • • NEW LEASE PROGRAM - Payments start at $300/Week plus $.25 per mile! • PAID Dispatched Empty Miles • NO Contractor Admin Fee! • OTR Opportunities •
read more...
Travel Nurse RN - Med Surg 2 008 per week
Company:
Aequor Healthcare
Posted: June 29, 2024
Aequor Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Sioux City, Iowa. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel • Perks: Aequor Healthcare
read more...
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Travel Nurse RN - ICU - Intensive Care Unit 2 268 per week
Company:
Planet Healthcare
Posted: June 29, 2024
Planet Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Des Moines, Iowa. & Requirements • Specialty: ICU - Intensive Care Unit • Discipline: RN • Start Date: 07/22/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type:
read more...
Travel Physical Therapist 1 866 per week
Company:
Triage Staffing
Posted: June 29, 2024
Triage Staffing is seeking a travel Physical Therapist for a travel job in Mason City, Iowa. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Start Date: 07/21/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Travel Rehab: Physical
read more...
Travel Nurse RN - Outpatient Dialysis 1 672 per week
Company:
RNnetwork
Posted: June 29, 2024
RNnetwork is seeking a travel nurse RN Outpatient Dialysis for a travel nursing job in Sioux City, Iowa. & Requirements • Specialty: Outpatient Dialysis • Discipline: RN • Start Date: 07/22/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours • Employment Type: Travel As a dialysis nurse
read more...
Travel Physical Therapist 2 440 per week
Company:
Triage Staffing
Posted: June 29, 2024
Triage Staffing is seeking a travel Physical Therapist for a travel job in Denison, Iowa. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Start Date: 07/29/2024 • Duration: 8 weeks • 55 hours per week • Shift: 11 hours, days • Employment Type: Travel Travel Rehab: Physical
read more...
Travel Nurse RN - Labor and Delivery 2 336 per week
Company:
Triage Staffing
Posted: June 29, 2024
Triage Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Waverly, Iowa. & Requirements • Specialty: Labor and Delivery • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel Travel Nursing:
read more...
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Travel Nurse RN - Med Surg / Telemetry 2 285 per week
Company:
Ardor Health Solutions
Posted: June 29, 2024
Ardor Health Solutions is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Fort Madison, Iowa. & Requirements • Specialty: Med Surg / Telemetry • Discipline: RN • Start Date: 07/10/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type:
read more...
Travel CT Technologist 2 549 per week
Company:
Epic Travel Staffing Allied
Posted: June 29, 2024
Epic Travel Staffing Allied is seeking a travel CT Technologist for a travel job in Waterloo, Iowa. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: ASAP • Duration: 13 weeks • 36 hours per week • Shift: 9 hours, days • Employment Type: Travel Job
read more...
Travel Nurse RN - Psychiatric 1 810 per week
Company:
Supplemental Health Care
Posted: June 29, 2024
Supplemental Health Care is seeking a travel nurse RN Psychiatric for a travel nursing job in Adair, Iowa. & Requirements • Specialty: Psychiatric • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • Employment Type: Travel • Supplemental Health Care is working with a Rehabilitation Addiction
read more...
Travel Nurse RN - OR - Operating Room 2 291 per week
Company:
Fusion Medical Staffing Nursing
Posted: June 29, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Cherokee, Iowa. & Requirements • Specialty: OR - Operating Room • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel
read more...
Travel Physical Therapist 2 037 per week
Company:
Focus Staff
Posted: June 29, 2024
Focus Staff is seeking a travel Physical Therapist for a travel job in Mason City, Iowa. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Start Date: 07/21/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Focus Staff is seeking a
read more...
Travel CT Technologist 2 363 per week
Company:
Host Healthcare
Posted: June 29, 2024
Host Healthcare is seeking a travel CT Technologist for a travel job in Ottumwa, Iowa. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 40 hours per week • Shift: 10 hours, nights • Employment Type: Travel Host
read more...
Travel Registered Respiratory Therapist 1 603 per week
Company:
Health Carousel Travel Allied
Posted: June 29, 2024
Health Carousel - Travel Allied is seeking a travel Registered Respiratory Therapist for a travel job in Mason City, Iowa. & Requirements • Specialty: Registered Respiratory Therapist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift:
read more...
Travel CT Technologist 2 478 per week
Company:
Triage Staffing
Posted: June 29, 2024
Triage Staffing is seeking a travel CT Technologist for a travel job in Ottumwa, Iowa. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 40 hours per week • Shift: 10 hours, nights • Employment Type: Travel Travel
read more...
Travel Nurse RN - Behavioral Health 2 628 per week
Company:
Trinity Health FirstChoice
Posted: June 29, 2024
Trinity Health FirstChoice is seeking a travel nurse RN Behavioral Health for a travel nursing job in Dubuque, Iowa. & Requirements • Specialty: • Behavioral Health • Discipline: • RN • Duration: • 13 weeks • 36 hours per week • Shift: • 12 hours, days • Employment Type: • Travel EOW • Trinity
read more...
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Experienced CDL-A Driver - Home Weekly - Teams Earn Up to $120k/Year
Company:
Hogan Transportation
Posted: June 29, 2024
Hogan Transport is now hiring CDL-A Drivers in Cedar Falls, IA • CDL-A Solo & Team Opportunities - No Touch Freight - Earn up to $120,000 per Year Why Choose Hogan? • Solos: Earn $95,000+ annually • Teams: Earn $120,000 annually,per driver • Sign-on bonus incentive* • Consistent routes & schedules •
read more...
Travel Respiratory Therapist 1 627 per week
Company:
Host Healthcare
Posted: June 29, 2024
Host Healthcare is seeking a travel Respiratory Therapist for a travel job in Davenport, Iowa. & Requirements • Specialty: Respiratory Therapist • Discipline: Allied Health Professional • Start Date: 07/22/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type:
read more...