Environmental Claims Examiner
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been recently voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice® designation. Come be a part of our team and “Claim Your Future.”
PRIMARY PURPOSE: To analyze claims against state petroleum storage tank funds and determine whether charges claimed are technically and financially eligible according to state regulations and agency policies and procedures within the limits of authority set by management.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
- Performs financial review of claims and makes claim payment recommendations.
- Performs technical review of claims and all supporting documentation to determine eligibility of claimed activities and materials.
- Monitors reserves and deductibles for each claim.
- Documents claim processing.
- Maintains relationships with claimants and client staff.
- Corresponds directly with claimants and consultants regarding claims.
- Interprets reports provided to the state Environmental Protection Agency.
- Maintains a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims service.
Qualifications
Education & Licensing: Baccalaureate degree with major in the environmental field from an accredited college or university preferred.
Experience:
- Two (2) years of claims management and/or environmental claims examiner experience required.
- A four (4) year college degree may be substituted for the required experience.
Skills & Knowledge:
- Thorough knowledge of claims management processes and procedures
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent negotiating skills
- Good interpersonal skills
- Ability to work in a team environment
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
