OSS Coordinator

Sedgwick Claims Management Services Inc.; 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

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.

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.

COMPENSATION & BENEFITS

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 21.00 per hour.

• medical
• dental
• vision
• 401k and matching
• PTO
• disability and life insurance
• employee assistance
• flexible spending or health savings account
• other additional voluntary benefits

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

We are building a diverse, equitable, and inclusive workplace and we recognize 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