Claims Recovery Representative
Claims Recovery Representative
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, Claim Your Future.
PRIMARY PURPOSE:
To identify and pursue potential Second Injury Fund and subrogation recoveries associated with workers compensation claims.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Reviews workers compensation claims to determine if potential for Second Injury Fund recoveries exist.
- Pursues medical information necessary to qualify claim for acceptance by the Second Injury Fund.
- Pursues information necessary to satisfy the Second Injury Fund's knowledge requirement.
- Determines from knowledge and medical information secured whether to submit claim warrants to Second Injury Fund for acceptance.
- Approves and/or pays bills as appropriate.
- Reviews workers' claims and conducts investigations to determine if potential for subrogation exists.
- Gathers information necessary to support viable subrogation claim.
- Notifies appropriate parties of subrogation lien.
- Secures recovery from responsible parties.
- Prepares various type status reports for clients.
- Enters recoveries into the claims management system.
- Obtains settlement authority from state funds and negotiates compromise settlements with state funds.
ADDITIONAL FUCNTIONS 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.
Experience
Three (3) years of claims experience or equivalent combination of education and experience required.
Skills & Knowledge
- Thorough knowledge of claims management processes and procedures
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Strong organizational skills
- Excellent 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 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
Estimated Salary: $20 to $28 per hour based on qualifications.
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