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.
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Hybrid - 1 day in-office per week
PRIMARY PURPOSE: To analyze claims against state petroleum storage tank funds and determine whether charges claimed are technically and financially eligible according to state regulations and agency policies and procedures within the limits of authority set by management.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Performs financial review of claims and makes claim payment recommendations.Performs technical review of claims and all supporting documentation to determine eligibility of claimed activities and materials.Monitors reserves and deductibles for each claim.Documents claim processing.Maintains relationships with claimants and client staff.Corresponds directly with claimants and consultants regarding claims.Interprets reports provided to the state Environmental Protection Agency (EPA).ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.Supports the organization's quality program(s).QUALIFICATIONS
Education & Licensing
Bachelor's degree with major in the environmental field from an accredited college or university preferred.
Experience
Three (3) years of related experience or equivalent combination of education and experience required to include two (2) years of claims management and/or environmental claims examiner experience required.
Skills & Knowledge
Thorough knowledge of claims management processes and proceduresExcellent oral and written communication, including presentation skillsPC literate, including Microsoft Office productsAnalytical and interpretive skillsStrong organizational skillsExcellent negotiating skillsGood interpersonal skillsAbility to work in a team environmentAbility to meet or exceed Performance CompetenciesWORK 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.
#claims #claimsexaminer #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.