Bilingual Disability Claims Analyst in Group Insurance delivering expert client service and managing risk strategies. Collaborating with diverse teams to ensure successful claim outcomes and stakeholder communication.
About the role
- Claims Examiner for Sedgwick adjudicating complex workers' compensation claims within service expectations. Join a company recognized for its caring culture and work-life balance.
Responsibilities
- Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim
- Manages claims through well-developed action plans to an appropriate and timely resolution
- Negotiates settlement of claims within designated authority
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level
- Prepares necessary state fillings within statutory limits
- Manages the litigation process; ensures timely and cost effective claims resolution
- Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner
- Communicates claim activity and processing with the claimant and the client; maintains professional client relationships
- Ensures claim files are properly documented and claims coding is correct
Requirements
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Five (5) years of claims management experience or equivalent combination of education and experience required
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Bilingual Disability Claims Specialist in Group Insurance managing claims, coordinating with stakeholders, and ensuring compliance. Working across diverse fields to support recovery and client relationships.
Claims Adjuster handling Kasko and car liability claims from start to finish. Working in a hybrid model from Hamburg, Berlin, or Frankfurt.
Field Claims Adjuster in a hybrid role at ClaimsPro supporting claims in Prince Albert area. Actively adjusting claims and ensuring business development opportunities are maximized.
Claims Adjuster I responsible for investigating physical damage claims on vehicles. Working under Claims Supervisor to evaluate, settle, or deny claims in Omaha, Nebraska office.
Claims Representative managing insurance claims for Great American Insurance Group. Evaluating liability and negotiating settlements while working in a hybrid model from Cincinnati, OH.
Claims Representative handling entry - level insurance claims at Auto - Owners Insurance. Investigating, evaluating, and settling claims under close supervision in a merit - based work - from - home program.
Claims Processor at Highmark overseeing claims adjustments and inquiries. Responsible for processing complex claims and ensuring timely resolution of payment determinations.
Workers Compensation Claims Adjuster III managing complex claims at AvonRisk. Reports to Claims Supervisor and oversees assigned inventory with a focus on professional growth and support.
Claims Adjuster managing complex indemnity claims at AvonRisk. Collaborating with teams to ensure accurate claim management and compliance with legal requirements.