Remote Claims Care Liaison

Sedgwick Claims Management Services Ltd; United States; Remote; USD 25,000 - 36,000; Full time

Job summary

Sedgwick is seeking a Patient Care Coordinator to provide excellent service to callers regarding claims, expedite the application process, and maintain accurate claim notes. You will educate customers on documentation and timelines, enter data into the claims system, and route calls to the correct team for escalation.

The role requires strong medical terminology knowledge, organizational skill, and the ability to manage multiple channels and systems.

Qualifications

• High school diploma or GED required.
• 1 year of customer service experience or equivalent.
• Inbound call center experience preferred.
• Knowledge of medical terminology.
• Understanding of claims management.
• Excellent oral and written communication skills.
• PC literate, including Microsoft Office products.
• Strong organizational skills.
• Good interpersonal skills.
• Ability to multi task in fast paced environment.
• Ability to support multiple clients across communication channels and utilize multiple systems simultaneously.
• Ability to work in a team environment and/or independently.

Responsibilities

• Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.
• Educates and informs the customer via multiple channels about documentation required to process a claim, required time frames, payment information, and claim status.
• Educates claimants on client requirements and benefit plans, documenting all required details of the call in a concise professional manner.
• Enters verbal and written application information into the claims management system.
• Assigns new claims to the appropriate claims handler.
• Directs customer calls to the appropriate contact at multiple locations or escalates as needed.
• Attendance during scheduled work hours is required.

Skills

Medical terminology

Claims management

Oral communication

Written communication

MS Office

Organizational skills

Interpersonal skills

Multi-tasking

Multichannel support

Teamwork

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Sedgwick is seeking a Patient Care Coordinator to provide excellent service to callers regarding claims, expedite the application process, and maintain accurate claim notes. You will educate customers on documentation and timelines, enter data into the claims system, and route calls to the correct team for escalation.

The role requires strong medical terminology knowledge, organizational skill, and the ability to manage multiple channels and systems.