Sr. Medicare Associate jobs in United States
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Sedgwick · 2 months ago

Sr. Medicare Associate

Sedgwick is a leading claims management services company, recognized for its supportive work culture. The Sr. Medicare Associate will be responsible for managing Medicare Lien Resolution referrals, sorting Medicare mail, and assisting with training new colleagues while ensuring compliance with Medicare processes.

BankingInsuranceRisk Management
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H1B Sponsor Likelynote

Responsibilities

Set up new Medicare Lien Resolution (MLR) referrals in the Medicare Compliance System
Electronically sort and index Medicare mail in the SIR and Medicare Compliance systems
Responds to questions from examiners about Medicare Compliance processes and products
Documents activity in MCS; communicates MCS action with examiner via JURIS notes
Creates daily reports to manage workload and monitors due dates
Communicates with examiners and defense counsel to resolve technically difficult issues related to obtaining medial records
Assists in training new departmental colleagues
Assists with special client projects as needed
Performs other duties as assigned
Supports the organization's quality program(s)

Qualification

Medicare ComplianceClaims ProcessingMicrosoft OfficeAnalytical SkillsCommunication SkillsOrganizational SkillsInterpersonal SkillsTeamwork

Required

High school diploma or GED required
One (1) year of general office experience required
Two (2) years of experience as Medicare Associate required
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Ability to work in a team environment and independently
Ability to meet or exceed Performance Competencies

Preferred

Claims or medical records/billing industry experience preferred
Internal candidates - Minimum 3.25 on most recent performance appraisal

Company

Sedgwick

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Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.

H1B Sponsorship

Sedgwick has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (10)
2023 (4)
2022 (9)
2021 (14)
2020 (10)

Funding

Current Stage
Late Stage
Total Funding
$1.5B
Key Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired

Leadership Team

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Michael Arbour
Chairman & Chief Executive Officer
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Kalani Reelitz
Global Chief Financial Officer
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Company data provided by crunchbase