OSS Coordinator in Memphis, TN at Sedgwick

Date Posted: 9/3/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Memphis, TN
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    9/3/2020

Job Description


Operations Support Services Coordinator
IF YOU CARE, THERE'S A PLACE FOR YOU HERE
For a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.
PRIMARY PURPOSE: To support and maintain the claims management system for a local office or multiple office locations; and to ensure security access meets established policies within assigned group.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
  • Completes examiner update reports, claim adjustments, provider requests and operational expense check requests.
  • Queues claims for Managed Care; transfers payment allocations; and runs manual pre-pay and balances as requested.
  • Creates and maintains internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and whether they meet established policies.
  • Coordinates with company's internal audit group to ensure security access is defined and implemented according to established policies and procedures.
  • Communicates and collaborates with other internal departments to support the security needs of end-users.
  • Researches and gathers data as needed for auditing, special projects or returned checks.
  • Provides telephone support to end-users.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
High School diploma or GED required. AS/AA degree preferred.
Experience
Two (2) years claims management or insurance experience or equivalent combination of education and experience required.
Skills & Knowledge
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies
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: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
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

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