Claims Support Specialist: Customer Care

Sedgwick; Texas; On-site; USD 23,000 - 28,000; Full time

Benefits offered by this job

Career stability

Comprehensive training

Personalized coaching

Growth opportunities

Competitive benefits

Impactful work

Job summary

Sedgwick in Texas is seeking a Consumer Care Advocate to join our claims support team. You will handle inbound calls, assist claimants, and coordinate with providers and clients to deliver accurate, timely information and excellent service.

This role emphasizes high-quality communication, data entry, and collaboration within a supportive environment. It offers structured training, opportunities to grow, and benefits as part of a stable, inclusive workplace.

Qualifications

• High school diploma or GED required.
• Associate's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Two (2) years of administrative and/or customer service experience or equivalent combination of education and experience required.
• PC literate, including Microsoft Office products.

Responsibilities

• Processes incoming calls, faxes and voicemails from claimants, providers, clients, attorneys, etc., resolving their claims related questions and issues in accordance with designed guidelines and policies.
• Communicates claims status and current claim activity with client and appropriate medical contact; responds to inquiries about jurisdiction- and claim-specific issues.
• Enters data into claims system(s) and ensures claim files are properly documented and claims coding is correct.
• Coordinates claimant address updates or changes with internal departments.
• Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit (SIU) as appropriate and coordinates independent medical examinations.

Skills

Excellent oral and written command of沟

Education

High school diploma or GED

Associate's degree preferred

Professional certification as applicable to line of business

Tools

Microsoft Office

Job description

Sedgwick in Texas is seeking a Consumer Care Advocate to join our claims support team. You will handle inbound calls, assist claimants, and coordinate with providers and clients to deliver accurate, timely information and excellent service.

This role emphasizes high-quality communication, data entry, and collaboration within a supportive environment. It offers structured training, opportunities to grow, and benefits as part of a stable, inclusive workplace.