Hybrid Consumer Care Advocate - Grow with a Caring Team

Sedgwick Claims Management Services Ltd; Texas; Hybrid; USD 17,000 - 21,000; Full time

Benefits offered by this job

Comprehensive training program

Benefits package (medical, dental, and

401k and PTO

Job summary

Sedgwick Claims Management Services Ltd is hiring a Consumer Care Advocate in a hybrid role in the United States. You will provide high-quality service to internal and external customers, resolving routine claims questions and guiding clients through processes.

Responsibilities include data entry, claims status updates, referrals to legal and medical review teams, and collaboration with cross-functional teams to ensure accurate documentation and timely resolutions.

Qualifications

• High school diploma or GED required. Associate’s degree preferred.
• Excellent oral and written communication skills.
• PC literate, including Microsoft Office products.
• Strong investigation and organizational skills.

Responsibilities

• Handle incoming calls, faxes and voicemails from claimants, providers, clients and attorneys.
• Communicate claims status and activity to clients and medical contacts.
• Enter data into claims systems and ensure proper documentation and coding.
• Coordinate address updates and referrals to legal, SIU, and other units as needed.
• Support quality programs and perform other duties as assigned.

Skills

Communication skills

PC literacy

Team player

Problem solving

Education

High school diploma

Associate degree preferred

Tools

Microsoft Office

Job description

Sedgwick Claims Management Services Ltd is hiring a Consumer Care Advocate in a hybrid role in the United States. You will provide high-quality service to internal and external customers, resolving routine claims questions and guiding clients through processes.

Responsibilities include data entry, claims status updates, referrals to legal and medical review teams, and collaboration with cross-functional teams to ensure accurate documentation and timely resolutions.