Claims Systems & Security Access Coordinator

Sedgwick Claims Management Services Ltd; Tennessee; On-site; USD 24,000 - 34,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k

PTO

Life Insurance

Employee Assistance

Job summary

Sedgwick Claims Management Services Ltd. seeks an OSS Coordinator in Tennessee to support and maintain the claims management system and ensure security access aligns with policies.

The role involves processing claims, managing access, coordinating with internal audits, and supporting end-users. The position requires a high school diploma or GED (associate degree preferred) and 2+ years in claims management or insurance, with strong communication, analytical, and teamwork skills.

Qualifications

• Education & Licensing: High School diploma or GED required. Associate degree preferred.
• Experience: Two (2) years of 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; analytical and interpretive skills; strong organizational and interpersonal skills; ability to work in a team; ability to meet or exceed performance competencies.

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 the 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.

Skills

Communication

Presentation skills

PC literate / MS Office

Analytical skills

Organizational skills

Interpersonal skills

Team player

Deadline-driven

Education

High School diploma or GED

Associate degree

Job description

Sedgwick Claims Management Services Ltd. seeks an OSS Coordinator in Tennessee to support and maintain the claims management system and ensure security access aligns with policies.

The role involves processing claims, managing access, coordinating with internal audits, and supporting end-users. The position requires a high school diploma or GED (associate degree preferred) and 2+ years in claims management or insurance, with strong communication, analytical, and teamwork skills.