Utilization Review Customer Service Rep jobs in United States
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Sedgwick · 11 hours ago

Utilization Review Customer Service Rep

Sedgwick is a company that focuses on providing meaningful support to individuals facing unexpected challenges. They are seeking a Customer Service Representative to handle utilization review calls from injured workers, requiring strong communication skills and a customer-focused approach.

BankingInsuranceRisk Management
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H1B Sponsor Likelynote

Responsibilities

Assists with utilization management quality assurance initiatives through participation in on-line log and/or case staffing with supervisor
Position is to answer phones for the utilization review department
Performs other duties as assigned
Supports the organization's quality program(s)

Qualification

Workers compensation knowledgeCustomer service skillsPC literacyOral communication skillsWritten communication skillsAnalytical skillsManage prioritiesInterpersonal skillsOrganizational skillsTime management skillsProblem solving skillsTeamwork

Required

High school diploma or GED required
One (1) year of experience with workers compensation legal and regulatory requirements and quality/managed care concepts or equivalent combination of education and experience required
Knowledge of workers compensation claims procedures and state legal and regulatory requirements
Good customer service skills
Good oral and written communication skills
PC literate, including Microsoft Office products
Excellent interpersonal skills
Good organizational and time management skills
Good problem solving skills
Good analytical skills
Ability to manage multiple and changing priorities
Ability to work in a team environment or independently with little supervision
Ability to meet or exceed Performance Competencies

Benefits

Three Medical, and two dental plans to choose from.
Tuition reimbursement eligible.
401K plan that matches 50% on every $ you put in up to the first 6% you save.
4 weeks PTO your first full year.

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