Sedgwick

General

• To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services.
• Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or confirming delivery of said goods or service.
• Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process.
• Procures vendor partners for each referral as it relates to the goods or services requested.
• Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals.
• Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim’s adjuster.
• Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day.
• Processes referrals per state regulations and workers compensation guidelines.

Patient Care Coordinator

Chief Marketing Officer

• Leads the development of marketing strategies to support growth by partnering with business unit Presidents and their teams.
• Coordinates personalized outreach programs, landing pages, executive events and nurture experiences.
• Supports demand generation and lead capture initiatives tied to MQL, SQL and pipeline goals.

Director, Integrated Marketing Strategy

Director

• Own end-to-end campaign strategy, including audience segmentation, journey design, and channel mix.
• Develop integrated campaign plans aligned with business goals, product priorities, and target personas.
• Lead account-based marketing (ABM) campaign design, including alignment of account lists across marketing and sales.
• Partner with Growth, Performance Marketing, Content, and Sales to ensure coordinated execution.
• Translate campaign strategy into clear briefs, asset plans, and activation timelines.
• Execute across email, web, paid media, social, and events.
• Ensure campaigns are cohesive across all touchpoints, including digital and sales engagement.
• Lead stakeholder alignment and campaign governance using project management best practices.
• Design and oversee multi-touch nurture programs and campaign workflows in HubSpot.
• Leverage lifecycle stages, segmentation, and lead scoring to drive engagement and conversion.
• Ensure campaigns are properly structured for tracking, attribution, and reporting.
• Partner with Marketing Operations for technical configuration, integrations, and data model management.
• Define the role of paid media within each campaign, including budget allocation, channel mix, and audience strategy.
• Lead LinkedIn campaign strategy, including: Company and persona targeting (ABM alignment) and message alignment with campaign stages.
• Guide Google Ads strategy, including: High-intent search capture and Retargeting strategy.
• Partner with internal teams or agencies to execute campaigns and optimize performance.
• Establish reporting frameworks across HubSpot, CRM (Dynamics), and paid media platforms.
• Analyze campaign performance and provide actionable optimization recommendations.
• Present insights to stakeholders, including marketing and sales leadership.

Associate Director – Campaign Strategy

Recruitment

• Oversees staffing activities within a designated region and partners with Operational management to implement timely, cost-effective initiatives aligned with regional and corporate objectives
• Identifies and cultivates sources for hiring experienced and entry level personnel through: Networking and Colleague Referrals, Development and utilization of Internet Mining technology and capabilities, Development and maintenance of a competitor candidate information database, Development and initiation of a candidate relationship “pipeline management” strategy, Utilization of current and future staffing technology
• Screens, interviews, and tests job applicants as required; maintains applicant database utilizing electronic recruiting software
• Provides key staffing metrics for regional hiring; tracks regional colleague retention; and consults with regional management regarding issues affecting turnover
• Trains and mentors hiring managers as well as Colleague Resource Generalists in the use of the electronic recruiting software; builds skill level of regional users by providing training on system updates and new user training
• Promotes and assists Colleague Resources Managers in training hiring managers in the use of Behavioral Interviewing Techniques, as well as other candidate assessment tools and processes
• Supports and provides training for the Colleague Resources Generalists in staffing techniques
• Travels as required.

Talent Acquisition Specialist

Claims Specialist

• To process low level workers compensation claims to determine benefits due;
• To ensure ongoing adjudication of claims within company standards and industry best practices;
• To identify subrogation of claims and negotiate settlements with general supervision.
• Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims.
• Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.

Claims Representative – Workers Compensation

Consultant

• Manage claim caseload of highly complex claims and coverage issues.
• Handle claims of at least one million dollars involving multiple buildings.
• Utilize special account instructions to obtain individual customer information and adhere to instructions.
• Communicate effectively and timely with team members and clients.
• Mentor and coach account representatives and specialists.
• Investigate, evaluate, and resolve claims; identify potential problems/trends.
• Apply jurisdictional and medical knowledge to assess indemnity and coverage.
• Proactively manage litigation in conjunction with client requirements.

Senior Account Consultant

• To analyze and process low to mid-level auto and transportation claims.
• Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
• Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.
• Identifies and pursues subrogation opportunities; secures and disposes of salvage.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.
• Maintains professional client relations.
• Performs coverage, liability, and damage analysis on all claims assignments.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Claims Representative, Auto – Property Damage

Insurance

• Help people whose homes have been damaged by an incident
• Independently handle and settle property and liability claims with a focus on building damage (building construction and civil engineering)
• Conduct on-site inspections and damage assessments
• Independently prepare expert reports, assessments and statements
• Coordinate and liaise with all relevant parties (insurers, policyholders, service providers, experts, etc.)
• Ensure quality- and customer-oriented claims handling

Technical Claims Specialist — Claims/Insurance

• Independently manage and settle property and liability claims with a focus on building damage (above- and below-ground construction).
• Conduct on-site inspections and damage assessments.
• Independently prepare expert reports, assessments and statements.
• Evaluate causes of damage, extent of loss and remediation costs.
• Coordinate and liaise with all relevant parties (insurers, policyholders, service providers, experts, etc.).
• Ensure quality- and customer-oriented claims handling.

Technical Assessor, Damage / Insurance

Client Services Representative

• To be responsible for the administrative, managerial and client relationships associated with Client Services within the assigned area.
• Ensures contract compliance with company guidelines within an assigned area.
• Handles financials including accounts receivable, invoicing and pricing support within an assigned area.
• Responsible for client knowledge including threatened status and relationship with the company.
• Handles renewal process timely; negotiates new contracts within an assigned area.
• Responsible for business planning and budgeting within an assigned area.
• Plans for staffing needs including succession, bench-strength, and new business within an assigned area.
• Supports client relationships; builds executive relationships; supports internal relationships.
• Supports business development.

AVP, Client Services

• Analyze and process low to mid-level auto and transportation claims.
• Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
• Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.
• Identifies and pursues subrogation opportunities; secures and disposes of salvage.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.
• Maintains professional client relations.
• Performs coverage, liability, and damage analysis on all claims assignments.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Claims Representative, Auto

• To process low level general/product liability claims to determine benefits due.
• To ensure ongoing adjudication of claims within company standards and industry best practices.
• To identify subrogation of claims and negotiate settlements with general supervision.
• Processes low level general/product liability claims by gathering information to determine liability exposure.
• Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.

Claims Representative – Liability, General Liability, Multi State Jurisdiction, Licensing Reciprocal Required

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Workers Compensation Claims Examiner – NY Jurisdiction Knowledge, NY Licensing Required

Operations

• To oversee technical and operational functions including compliance with company standards and industry best practices
• To ensure consistent delivery of quality services
• To oversee staffing and training needs
• To oversee budget preparation and profit and loss management
• Oversees internal quality review process and reports monthly
• Assures compliance with client internal controls, audit requirements and service agreement requirements
• Establishes business plan with goals and objectives for assigned clients
• Ensures claims management policies and procedures are followed to assure meeting service standards, state statutes/regulations, disability plan document, industry best practices and client service requirements
• Establishes and maintains client contacts

Operations Manager

Manager

• Ensures adherence to client service instructions for WC and GL accounts.
• Oversee the Litigation Management program for Workers Compensation.
• Tracks and trends performance guarantee and gain share agreements at the client level.
• Ensures client's claims reports are properly and timely prepared and distributed.
• Provide program training, communication and maintenance of internal training documents.
• Analyze and communicate client specific operational audits; monitors client audit compliance.
• Works with company Quality and Operations staff to resolve client issues including results of client Compass audits.
• Manages client specific internal control report issues.
• Compliance oversight: Ensures timely payment of TTD, medical and vendor bills; ensures appropriate vendor utilization.