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Sedgwick Claims Management Services
Telecommuter, Illinois, United States
(on-site)
Posted
20 hours ago
Sedgwick Claims Management Services
Telecommuter, Illinois, United States
(on-site)
Job Type
Full-Time
SIU Research Investigator
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
SIU Research Investigator
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
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
SIU Research Investigator
PRIMARY PURPOSE OF THE ROLE: Performs claims investigations utilizing online public and subscription database searches, conducts various research investigations using specialized techniques and technologies, and compiles document findings in detailed, professional reports and makes recommendations as appropriate.
ARE YOU AN IDEAL CANDIDATE? We are looking for detail-oriented candidates who enjoy conducting in-depth research and investigations to support various claims. Ideal candidates are skilled at using online databases and investigative tools, produce clear and professional reports, and can identify and communicate red flags with sound recommendations.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- Performs research investigation assignments as requested by examiners, clients or assigned legal counsel.
- Conducts thorough search and inspection of available public and subscription database records.
- Conducts comprehensive background investigations, medical and other facility canvasses, social media searches, social media monitoring, geo-fencing, skip traces, and other specialized research investigations.
- Documents findings in a detailed, professional investigative report.
- Identifies, documents and communicates red flag indicators and makes additional handling recommendations as appropriate.
- Maintains proper documentation of all relevant facts and evidence pertaining to the case in the appropriate claim handling system(s) and ensures investigations are completed according to service expectations and SIU best practices.
- Maintains technical competency and adherence with all applicable legal codes and statutes to ensure all investigations are conducted in a legal and ethical manner.
- Complies with deposition and courtroom testimony appearances as requested.
- Performs other duties as assigned.
QUALIFICATIONS
Education & Licensing: High school diploma or GED required.
Experience: Two (2) years insurance industry experience or equivalent combination of education and experience.
Skills: strong oral and written communication skills, PC literate, including Microsoft Office product, strong organizational skills, excellent interpersonal skills, work in a team environment, and the ability to manage multiple assignments and set priorities.
Work environment requirements include:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
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.
Requisition #: R72619
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Job ID: 83288536

Sedgwick Claims Management Services
Insurance
Tennessee
,
United States
Sedgwick Claims Management Services, Inc. (Sedgwick CMS) is the leader in innovative claims and productivity management solutions to major employers. Sedgwick CMS provides cost-effective claims administration, managed care, program management and related services through the expertise of 6,400 colleagues in more than one hundred and fifty offices and service locations in the U.S. and Canada.
View Full Profile
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