OSS Coordinator

Sedgwick Claims Management Services Ltd; Memphis, Winchester (TN, VA); On-site; USD 23,000 - 27,000; Full time

Benefits offered by this job

Stable work environment

Training program

Dedicated mentor and manager

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick Claims Management Services Ltd seeks an OSS Coordinator to support and maintain the claims management system for a local office or multiple locations in the Memphis area. The role emphasizes security access in line with policy and collaboration with our Centers of Excellence in Memphis.

The position requires a high school diploma or GED, with an associate degree preferred, and about two years of claims management or insurance experience.

Qualifications

• High school diploma or GED required; associate degree preferred.
• Two years of claims management or insurance experience or equivalent combination of education and experience required.
• Excellent oral and written communication, including PC literate with Microsoft Office.
• Strong organizational skills and ability to work in a team environment.

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.
• Performs other duties as assigned and supports the organization's quality program(s).

Skills

Communication

Microsoft Office

Analytical skills

Organizational skills

Interpersonal skills

Teamwork

Education

High School or GED

Associate degree

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

OSS Coordinator

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. Our teams thrive together! We collaborate in person. To join us, you’ll need to live near our dynamic Centers of Excellence Memphis, TN : 8125 Sedgwick Way, Memphis.

What we offer

• A stable, consistent work environment—both in-office and virtual
• A comprehensive training program to help you support employees and customers from some of the world’s most respected brands
• A dedicated mentor and manager to guide you every step of your career journey
• Career development and promotional opportunities as you take on new responsibilities
• A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being

Your next big opportunity starts here—are you ready to join us?

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. 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, 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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (17.00-19.50 per hour).

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI‑enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com