ADUSA Program

Work set-up: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Minimum of 6 months clerical or customer service experience., At least 1 year of customer service experience for Care Team roles., Four years of call center or customer service experience for Care Team Lead., Two years of disability management or FMLA administration experience for related roles..

Key responsibilities:

  • Support claims staff and provide customer service to callers.
  • Develop and maintain quality assurance and client services.
  • Analyze leave requests and determine benefits for leave of absence roles.
  • Process claims and determine benefits for disability representatives.

EFI Global logo
EFI Global Construction & Civil Engineering SME https://www.efiglobal.com/
501 - 1000 Employees
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Job description

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

ADUSA Program

This requisition is for ADUSA Program for all roles

Claims Assistant 

  • Provide Support to the claims staff 
  • Six (6) months of clerical or customer service experience

Care Team Representative

  • Provide service to callers regarding claims for multiple lines of business
  • One (1) year of customer service experience

Care Team Lead  

  • Develop, implement and maintain the delivery quality assurance, client services and workforce management service
  • Four (4) years of call center or customer service experience

Quality Assurance Coach 

  • Provide service transaction monitoring and analysis to service center colleagues 
  • Two (2) years of customer service experience 

Leave of Absence Coordinator

  • Analyze reported Family Medical Leave (FMLA) requests
  • Two (2) years of admin/general office experience 

Leave of Absence Representative 

  • Analyze reported leave requests and determine paid leave benefits
  • Two (2) years of disability management and/or FMLA administration experience 

Disability Representative 

  • Process claims and determine benefits due pursuant to a disability plan. 
  • Two (2) years of disability management and/or FMLA administration experience including one (1) year of admin/general office experience 

Sr. Disability Representative 

  • Provide disability case management and claim determinations
  • Three (3) years of benefits or disability case/claim management experience 

Benefit Liaison/Union Liaison 

  • Coordinate activities of absence programs for specific client
  • Six (6) years of absence management experience required

Data Analyst 

  • Collect, analyze and report data; to be responsible for data integrity
  • Five (5) years of related experience or equivalent combination of education and experience required

Absence Management Team Lead 

  • Supervise the operations of multiple teams of examiners and technical staff for disability claims for clients
  • Six (6) years of claims experience or equivalent combination of education and experience required

Client Services Manager 

  • Supports the AVP with day to-day account management needs of escalations
  • Six (6) years of claims experience or equivalent combination of education and experience required

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required.

Auditory/Visual: Hearing, vision and talking

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.

Required profile

Experience

Industry :
Construction & Civil Engineering
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Customer Service
  • Multitasking
  • Stress Management
  • Communication
  • Problem Solving

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