Service Center Representative

☞ Sedgwick

Ver: 206

Dia de atualização: 12-06-2024

Localização: Hamilton Ontario

Categoria: Impressão / Publicação

Indústria: Insurance

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Conteúdo do emprego

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Service Center Representative
IF YOU CARE, THERE’S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick’s talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.
PRIMARY PURPOSE: Responsible for managing data for a major insurer and setting up new claims within their system. The representative is also is responsible for monitoring the progress of claims, creating claims records/reports, and the payment of claims and processing of cheques.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
  • Monitor incoming claims, verify information in client system and provide coverage forms to adjusters
  • Send fax confirmation notification to required parties
  • Create new file in third party client systems
  • Create initial reserve, change or close reserve and file as required for the third-party system
  • Monitor and update client system with required file notes and status update, process cheques on client system, review cheque status or cancellation and provide update as required
  • Create or save document in appropriate file (incoming or outgoing communication)
  • Process estimate request, update and closure request on client system (multiline)
  • Review and complete daily reports
  • Send notification to client and communicate with adjuster as required
  • Respond to internal or external inquiries
  • Perform other related duties as 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. College courses preferred.
Experience
  • Two (2) years of administrative office experience or equivalent combination of education and experience required to include experience in presentation, desktop publishing, and graphics software.
Skills & Knowledge
  • Knowledge of medical terminology
  • Understanding of claims management
  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office products
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to multitask in fast paced environment
  • Ability to support multiple clients across communication channels and utilize multiple systems simultaneously
  • Ability to work in a team environment and/or independently
  • Ability to meet or exceed Performance Competencies
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.
We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.
Sedgwick is an Equal Opportunity Employer
Sedgwick is an Equal Opportunity Employer.
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Data limite: 27-07-2024

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