Description
By joining Sedgwick, you'll be part of a team that supports, empowers, and celebrates your success every step of the way.
As a Consumer Care Advocate, you will provide high-quality service to both internal and external customers, delivering an easy and efficient customer experience for routine lost time.
Responsibilities:
- Process incoming calls, faxes, and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims-related questions and issues in accordance with designed guidelines and policies.
- Communicate claims status and current claim activity with clients and appropriate medical contacts; respond to inquiries about jurisdiction- and claim-specific issues.
- Enter data into claims systems and ensure claim files are properly documented and claims coding is correct.
- Coordinate claimant address updates or changes with internal departments.
- Provide referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinate independent medical examinations.
Requirements:
- High school diploma or GED required; associate's degree from an accredited college or university preferred.
- Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.
- Excellent oral and written communication skills.
- PC literate, including Microsoft Office products.
- Strong investigation and organizational skills.
- Good interpersonal skills.
- Ability to work in a team environment.
Benefits:
- Comprehensive training program.
- Personalized support and coaching.
- Endless opportunities to grow.
- Benefits package that supports physical, mental, financial, and professional well-being.
The salary range for this role is $17.00 per hour.