Claims Handler

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.Great Place to Work®Top 100 Most Loved Workplace® Forbes Best-in-State EmployerClaims HandlerAn excellent opportunity has arisen for a Third Party Administrator Claims Handler.Remote or hybrid working modelKey rolesThe role of the Offshore TPA Claims Handler is to provide a quality service to Sedgwick International the customers / Insurer, which meets or exceeds the Insurer’s expectations and generates the revenue to meet the demands of both Sedgwick’s and the Insurer’s businesses. The Claims Handler will be expected to deliver and perform day-to-day tasks pertinent to the team’s activity with a major focus on Quality, Accuracy, SLAs, Procedures and Process-improvement. The team member will also be expected to provide effective cover and assistance to the Team Leader.Specific responsibilitiesTPA Team takes full ownership of claim Process for our Clients – FNOL to Claim PaymentTPA Team also have different lines of business for our Clients which will be handled by the teamResponsible for management of assigned desktop claims & delivery of targetProvide effective and accurate advice to claimants based on a strong working knowledge of policy terms and conditionsReview allocated cases and achieve settlement, within designated personal authority level, in line with established standards, procedures and guidance providedManage customer interactions in an efficient, courteous and timely manner in order to deliver high standards of customer satisfactionInteract with customers directly and liaise with Insurer representatives to ensure the highest level of service and continuous operational efficiencyReviewing Loss Adjusters Reports, Referrals / Correspondence on Managed AccountsAuthorisation of Payment with authority levelProvide assistance where required in the training of new Team MembersMaintain and update Personal Development PortfolioEnsuring that you achieve the minimum insurance standard qualification within the time frame and comply with CPD requirements where appropriateSuccessfully contribute to the development and delivery of the Team’s Goals, Objectives and ResultsQualifications/skillsWorking towards APA qualification or previous claims experience.High level of proficiency in Word, Excel, and PowerPointSound numeric skillsHigh level interpersonal and communication (verbal/written) skillsSedgwick is an Equal Opportunity Employer.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. Sedgwick retains the discretion to add or to change the duties of the position at any time.