Consumer Care Advocate

Sedgwick

Consumer Care Advocate handling claims inquiries for Sedgwick, a global risk and claims administration partner. Processing customer communications, documenting claims, and coordinating referrals and medical examinations.

Posted 8/11/2026full-timeRemote • Tennessee, Texas • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong communication and organizational skills while effectively managing claims processing and inquiries. Proficient in data entry and coordination of medical examinations, ensuring compliance with guidelines and policies.

Highest-signal resume keywords

Claims ProcessingData EntryCustomer Service ExperienceMicrosoft Office ProficiencyInvestigation Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims CodingData EntryClaims SystemsDocumentationQuality Programs

Soft Skills

Oral CommunicationWritten CommunicationInterpersonal SkillsOrganizational SkillsTeam Collaboration

Certifications & Qualifications

Professional Certification

Industry Keywords

Claims ManagementJurisdiction InquiriesIndependent Medical ExaminationsUtilization ReviewSpecial Investigations Unit

About the role

Key responsibilities & impact

Process incoming calls, faxes, and voicemails from claimants, providers, clients, attorneys, and others
Resolve claims-related questions and issues according to guidelines and policies
Communicate claim status and current claim activity with clients and appropriate medical contacts
Respond to jurisdiction- and claim-specific inquiries
Enter data into claims systems
Ensure claim files are properly documented and claims coding is correct
Coordinate claimant address updates or changes with internal departments
Provide referrals to legal, utilization review, pharmacy, and Special Investigations Unit teams
Coordinate independent medical examinations
Support the organization’s quality programs
Perform other duties as assigned

Requirements

What you’ll need

High school diploma or GED required
Associate’s degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred
Two (2) years of administrative and/or customer service experience, or equivalent combination of education and experience, required
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Strong investigation and organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Ability to handle multiple priorities simultaneously and meet deadlines

Benefits

Comp & perks

Work-life balance
Reasonable accommodations when applicable and appropriate
Equal opportunity workplace
Drug-free workplace