Decision support representative

Decision Support Representative

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance

Primary Purpose Of The Role :

To maintain claims management systems ensuring data integrity and client parameter requirements; to support internal clients with assigned client portfolio.

Are You An Ideal Candidate?

We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work, are customer-oriented and are naturally empathetic.

Essential Responsibilities May Include :

• Partners with team leaders to maintain client parameters in the claims management system including structure, policy, and coding.
• Analyzes user inquires and provides guidance on documentation and system setup requirements.
• Provides data analysis for moderately complex meet client specific or program requirements.
• Triages and assigns incoming requests to multiple decision support services mailboxes; reviews requests and determines appropriate assignment, investigates escalations, and keeps leadership informed of complex issues.
• Identifies gaps / improvements and collaborates with team members to design and implement appropriate solutions.
• Communicates actively on progress to involved parties and hands off accurate date to relevant parties for system uploading.

Qualifications :

Four (4) years of related experience or equivalent combination of education and experience required. One (1) year of data reporting or related claims management experience preferred.

Taking Care Of You :

Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more. Work environment requirements for entry-level opportunities include Physical : Computer keyboarding Auditory / visual : Hearing, vision and talking Mental : Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines Travels as required.

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. 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.