• OSS Coordinator

    Sedgwick (Erie, PA)


    By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

     

    Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

     

    Certified as a Great Place to Work®

     

    Fortune Best Workplaces in Financial Services & Insurance

    OSS Coordinator

    **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ensure security access meets established policies within assigned group.

    ESSENTIAL FUNCTIONS and RESPONSIBILITIES

    + Completes examiner update reports, claim adjustments, provider requests and operational expense check requests.

    + Queues claims for Managed Care; transfers payment allocations; and runs manual pre-pay and balances as requested.

    + Creates and maintains internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and whether they meet established policies.

    + Coordinates with company's internal audit group to ensure security access is defined and implemented according to established policies and procedures.

    + Communicates and collaborates with other internal departments to support the security needs of end-users.

    + Researches and gathers data as needed for auditing, special projects or returned checks.

    + Provides telephone support to end-users.

    ADDITIONAL FUNCTIONS and RESPONSIBILITIES

    + Performs other duties as assigned.

    + Supports the organization's quality program(s).

    QUALIFICATIONS

    Education & Licensing

    High School diploma or GED required. Associate degree preferred.

    Experience

    Two (2) years of claims management or insurance experience or equivalent combination of education and experience required.

    Skills & Knowledge

    + Excellent oral and written communication, including presentation skills

    + PC literate, including Microsoft Office products

    + Analytical and interpretive skills

    + Strong organizational skills

    + Good interpersonal 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, 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.

     

    Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com