support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Representative - IAP WC (Entry Level) Atl,
GA/ Lake Mary, FL/Memphis, TN/Charlotte, NC PRIMARY PURPOSE : To be oriented and trained as new industry professional with the ability to analyze workers compensation, general liability or disability claims and determine benefits due.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES Attendance and completion of designated classroom claims professional training program. Performs on-the-job training activities including: Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. Adjusting low and mid-level liability and/or physical damage claims under close supervision. Processing disability claims of minimal disability duration under close supervision.
Documenting claims files and properly coding claim activity. Communicating claim action/processing with claimant and client.
Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. Participates in rotational assignments to provide temporary support for office needs. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred or equivalent experience as outlined below. Experience No experience required with college degree. State license, self-insured certificate, WCCA/WCCP designation, or completion of the Sedgwick Claims Progression Program required without a degree.
Prior claims experience preferred. Skills and Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical 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 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.
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. Requisition #: R44411tcv57hlu2
support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Examiner PRIMARY PURPOSE : To analyze complex
or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within
designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s).
Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations 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. 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. Requisition #: R43982tcv57hlu2
case resolution. The role requires strong client focus, collaboration, communication, leadership, and problem-solving skills. The candidate should have a Florida Bar License and a minimum of 1 year of experience. The attorney will be dedicated to serving first-party insurance claims.
They will be responsible for efficiently managing all facets of a case, collaborating with a legal team, and directly working with a partner for litigation discovery during their first year at the firm. Duties: Serve First Party Insurance Claims, handling all case functions from initial client meeting to case resolution. Collaborate with a legal team to ensure effective case management. Work directly with
a partner for litigation discovery during the first year at the firm. Demonstrate strong client focus throughout the legal process. Utilize excellent communication skills in interactions with clients and team members.
Showcase leadership abilities in guiding cases toward successful resolution. Apply problem-solving and analytical skills to address legal challenges. Requirements: Florida Bar License (Required). Minimum of 1 year of experience in civil litigation. Familiarity with First Party Insurance Claims. Education and Certifications: Juris Doctor (JD) degree from an accredited law school. Active license to practice law in the state of Florida. Skills: Strong client focus and interpersonal
skills. Collaborative and team-building abilities. Effective communication skills.
Leadership qualities. Problem-solving and analytical skills. Benefits:401(k) with matching. Dental insurance. Health insurance. Paid time off. Vision insurance. This Florida law firm provides legal services in matters related to personal injury, auto accidents, criminal defense, driving under the influence (DUI) defense, family law, mass tort litigation, personal injury protection for medical providers, and employment law. Its team of attorneys has vast experience in these fields of law. Its office is located in Maitland, Florida.
Construction or skilled trade jobs encompass a range of manual labor positions that require specific training and skills to construct, maintain, and repair buildings, infrastructure, and machinery. These roles often include electricians, plumbers, carpenters, welders, and masons, among others. Characterized by hands-on work, these jobs are essential to the development and upkeep of our physical environment. Workers in this field typically have robust technical knowledge, a strong work ethic, and the ability to solve problems on-site. Many of these positions also offer the satisfaction of seeing tangible results from one's efforts.
Accounting and Finance jobs encompass a wide range of roles focused on managing money and financial records for individuals, businesses, and organizations. Key features of these jobs include tracking financial transactions, ensuring compliance with financial regulations, performing audits, and providing financial insights to support decision-making. Professionals in this field often possess strong analytical skills, attention to detail, and a deep understanding of economic principles. Typical positions include accountants, financial analysts, auditors, and controllers, each playing a critical role in maintaining the financial health and integrity of their respective entities.
Accounting and finance jobs encompass positions responsible for managing financial records, analyzing financial performance, ensuring legal compliance, and advising on investment strategies. Key features of these roles include attention to detail, a strong understanding of financial systems and legislation, proficiency in accounting software, and the ability to interpret complex data. Professionals in this field often hold certifications such as CPA or CFA and work in various environments, from corporate finance departments to public accounting firms, with tasks ranging from bookkeeping and auditing to financial planning and risk assessment.
Accounting and Finance jobs encompass a variety of roles focused on managing the financial health of an organization. Accountants typically handle tasks such as auditing, tax preparation, and financial reporting, ensuring accuracy and compliance with laws. Finance professionals, on the other hand, might engage in financial analysis, budgeting, and investment strategizing to support growth and manage risks. Key characteristics of these jobs include a strong attention to detail, analytical skills, and proficiency with numbers, often requiring qualifications such as a CPA for accountants or a CFA for finance experts. Continuous education is also vital to stay abreast of changing fiscal regulations and economic trends.
Accounting and finance jobs encompass a variety of roles focused on managing money and financial records for individuals and organizations. Typical positions in this field include accountants, financial analysts, auditors, and treasurers. These professionals ensure accuracy in financial reporting, compliance with regulations, strategic planning for fiscal health, and effective investment management. Key characteristics of these jobs include a strong foundation in mathematics, attention to detail, and analytical skills. They often require certifications and a grasp of complex financial legislation. The goal is to maintain the financial integrity and contribute to the economic stability of their employer or clients.
Banking jobs refer to employment opportunities within banks and financial institutions where individuals manage financial transactions, provide customer service, and support banking operations. These jobs vary from tellers, loan officers, and financial advisors to analytical roles like risk assessors and investment bankers. Key features of banking jobs often include a focus on customer service, attention to detail, regulatory compliance, numerical skills, and the handling of sensitive information. They can offer career progression, respectable salaries, and opportunities for both entry-level and experienced professionals.
expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. Location: This position is onsite at our office in Altamonte Springs, FL.
You must commute to this location on a daily basis. HOURS: 11:00am-8:00pm M - F or 12:00pm-9:00pm M-F. Occasional weekends and overtime as needed. The Referral Specialist I is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals. Primary duties may include, but are not limited to: Initiates and manages clinical
referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Reviews referrals for completeness and follows up for additional information if necessary.
Assigns escalated referrals to staff as appropriate. Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams (CT, MRI, MRA, PET, et. ) following established process and procedures. Responds to inbound calls initiating exam requests following established processes, meets quality and production standards. Contacts physician offices as needed to obtain demographic information or related data. Enters referrals,
documents communications and actions in system. Minimum qualifications: Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center environment; or any combination of education and experience which would provide an equivalent background.
Preferred skills, qualifications and knowledge: Knowledge of medical terminology preferred. Experience working as shop Tech highly preferred. Ability to type 45 WPM Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19.
If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, interaction, interactionual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@for assistance. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, interaction, interactionual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@for assistance.
ideal candidate will be responsible for providing engineered drawings for HVAC control systems. You should be able to review specifications and contract drawings for assigned projects. Provide accurate drawings for HVAC control systems and schematics using Auto CAD and/or Visio.
Have the ability to size control valves, dampers, air flow stations, and the like for HVAC systems. Be able to write and understand the sequence of operations for HVAC control systems, along with assembling submittals and O&Ms for projects. What are we looking for? Associate degree in Mechanical Engineering/Mechanical Engineering Technology/Electrical Engineering/Computer Engineering or other STEM field with 1-3
years' experience in relevant field. 3+ years' experience in relevant field. 3+ years' experience using Auto CAD and/or Visio. Sound knowledge in electrical circuits, HVAC and controls required.
Understanding of advanced hydronic and duct work systems required. Advanced computer skills and proficiency in MS Office Suite required. Must be able to deal with a large volume of work in a fast-paced, time-sensitive environment. What we would love to see? Bachelor's degree in Mechanical Engineering/Mechanical Engineering Technology. Who are we? Stark Integration delivers actionable insights through building analytics and automation technology. Our solutions reduce waste, improve efficiency,
and improve the bottom line. Stark Integration specializes in Building Controls and Automation, Energy and Power Management, Protective Systems and Customized Service Solutions.
Stark Integration's in-depth understanding of building operations combines technology with real-world expertise to deliver tangible and scalable results. Stark is a manufacturer's representative for Schneider Electric. In addition, our in-house expertise enables integration of any building management system with best-in-class lifecycle support and service. Job Posted by Applicant Pro
Science Jobs refer to employment opportunities within the various fields of science, such as biology, chemistry, physics, and environmental science. These positions often require a strong educational background in their respective disciplines and can range from academic research and teaching roles to industry-based positions in pharmaceuticals, technology, and more. Unique features of Science Jobs include a focus on innovation, evidence-based analysis, and the exploration of the natural world. They contribute significantly to technological advancements and the betterment of society through scientific discovery and application.
Accounting and Finance jobs encompass a wide range of roles focused on managing money and financial records for individuals, businesses, and organizations. Key features of these jobs include tracking financial transactions, ensuring compliance with financial regulations, performing audits, and providing financial insights to support decision-making. Professionals in this field often possess strong analytical skills, attention to detail, and a deep understanding of economic principles. Typical positions include accountants, financial analysts, auditors, and controllers, each playing a critical role in maintaining the financial health and integrity of their respective entities.
Construction/skilled trade jobs refer to a broad category of professions that require specific training, expertise, and practical skills in construction and building trades. These positions often include carpenters, electricians, plumbers, welders, masons, and HVAC technicians, among others. Characteristic of these roles is the hands-on nature of the work, the necessity to understand and interpret blueprints or design plans, and the use of specialized tools and equipment. Workers in these fields typically undergo apprenticeships or vocational education to hone their craft, and they play a critical role in infrastructure development, maintenance, and repair, contributing to the physical backbone of society.
Real estate jobs refer to professions within the property sector, encompassing roles such as real estate agents, brokers, developers, appraisers, and property managers. Characteristics of these jobs often include a focus on sales and negotiation, property management, market analysis, and customer service. Additionally, real estate careers typically demand a deep understanding of local property laws and regulations, excellent interpersonal skills for client interactions, and for some roles, an ability to assess property value and potential investment opportunities. The field is dynamic, with income often based on commission and performance, offering opportunities for both entrepreneurial individuals and those preferring to work within established companies.
