• Decision Support Representative

    Sedgwick (Memphis, TN)


    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

    Decision Support Representative

    **PRIMARY PURPOSE** **:** To maintain claims management systems ensuring data integrity and client parameter requirements; to support internal clients with assigned client portfolio.

    ESSENTIAL FUNCTIONS and RESPONSIBILITIES

    + Partners with team leaders to maintain client parameters in the claims management system including structure, policy, and coding.

    + Analyzes user inquires and provides guidance on documentation and system setup requirements.

    + Provides data analysis for moderately complex meet client specific or program requirements.

    + Triages and assigns incoming requests to multiple decision support services mailboxes; reviews requests and determines appropriate assignment, investigates escalations, and keeps leadership informed of complex issues.

    + Identifies gaps/improvements and collaborates with team members to design and implement appropriate solutions.

    + Communicates actively on progress to involved parties and hands off accurate date to relevant parties for system uploading.

    ADDITIONAL FUNCTIONS and RESPONSIBILITIES

    + Performs other duties as assigned.

    + Travels as required.

    QUALIFICATIONS

    Education & Licensing

     

    Bachelor's degree from an accredited college or university preferred.

    Experience

    Four (4) years of related experience or equivalent combination of education and experience required. One (1) year of data reporting or related claims management experience preferred.

    Skills & Knowledge

    + Strong data analytical skills

    + Knowledge of claims management processes and systems

    + Excellent oral and written communication skills, including presentation skills

    + PC literate, including Microsoft Office products

    + Analytical and interpretive skills

    + Strong organizational skills

    + Excellent 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

     

    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