Jobs · Finance

Claims Examiner - Workers Comp | Jurisdiction: AL, FL, GA, MS, NC, SC, TN | Licensing: Home State Required

Sedgwick · Georgia, United States · 1 mo ago
RemoteRemoteFinanceFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate: EEO, legal, etc. Also remove duplicated lines, navigation, cookie, etc. Also remove application instructions. We need to parse the posting. Let's extract content: Intro: "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 Claims Examiner - Workers Comp | Jurisdiction: AL, FL, GA, MS, NC, SC, TN | Licensing: Home State Required Apply your Workers Compensation & supervisory knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations." That's about the role. Then "ARE YOU AN IDEAL CANDIDATE?" list of duties: "To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office." Then "PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion." Then "Essential Responsiblities May Include" list: many bullet-like sentences. Then "Supervisory Responsibilities" list. Then "Qualifications Education & Licensing: ..." list. Then "Jurisdiction Knowledge: Nationwide Licensing: Home State Required" Then "TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one." Then "Work Environment Requirements include 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 Auditory/Visual: Hearing, vision and talking" Then "As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($63,00.00 - 88k). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits." Then hashtags etc. We need to create sections: - About the role: intro paragraph(s) describing role, purpose, maybe the "ARE YOU AN IDEAL CANDIDATE?" part? Actually that is more responsibilities. But we can put "About the role" as overview. - Responsibilities: combine the "ARE YOU AN IDEAL CANDIDATE?" list and "Essential Responsiblities May Include" and "Supervisory Responsibilities". Could be one responsibilities section. - Requirements: maybe "Work Environment Requirements" (mental, physical, auditory/visual). Also maybe "Jurisdiction Knowledge: Nationwide Licensing: Home State Required" could be part of Requirements or Qualifications. - Qualifications: Education & Licensing etc. - Skills: maybe not explicit; could be derived from responsibilities but we shouldn't invent. If no explicit skills list, we should not create Skills section. - Benefits: from "TAKING CARE OF YOU" and later benefits paragraph. - Pay: compensation range. - Schedule: flexible work schedule mentioned. We must not create sections with placeholder or vague like "commensurate with experience". We have actual pay range: ($63,00.00 - 88k). Note typo: $63,00.00 (should be 63,000?). We'll keep as given. Schedule: "Flexible work schedule." Benefits: list items. Now produce HTML. We need headings

for each section. Inside sections, use

for prose,

  • for lists. We must not include job title heading. We must not include metadata like Job ID. We must strip duplicated lines. Let's craft. About the role: combine intro paragraphs: "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 Claims Examiner - Workers Comp | Jurisdiction: AL, FL, GA, MS, NC, SC, TN | Licensing: Home State Required Apply your Workers Compensation & supervisory knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations." We could split into two paragraphs but okay. Responsibilities: list items from ARE YOU AN IDEAL CANDIDATE? and Essential Responsiblities May Include and Supervisory Responsibilities. Let's extract each bullet: ARE YOU AN IDEAL CANDIDATE? items (separated by semicolons): - analyze complex or technically difficult general liability claims to determine benefits due - work with high exposure liability claims involving litigation and rehabilitation - ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements - identify subrogation of claims and negotiate settlements - provide backup for team lead when out of the office Essential Responsiblities May Include (each sentence): - Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim - manages claims through well-developed action plans to an appropriate and timely resolution - Manages the litigation process; ensures timely and cost-effective claims resolution - Coordinates vendor referrals for additional investigation and/or litigation management - Leads team meetings and assigns accountability for follow-up items - Gathers important compliance/claims processing information to be presented at team meetings - Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager - Provides limited assistance/support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary - May include up to (3) three direct reports Supervisory Responsibilities: - Administers company personnel policies in all areas and follows company staffing standards and training recommendations - Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions - Provides support, guidance, leadership, and motivation to promote maximum performance We'll combine into a single
      . Requirements: Work Environment Requirements (mental, physical, auditory/visual) plus maybe Jurisdiction Knowledge? Actually Jurisdiction Knowledge is more like qualification. We'll put under Requirements: "Work Environment Requirements include When applicable and appropriate, consideration will be given to reasonable accommodations." Then list mental, physical, auditory/visual. Let's extract: 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 Auditory/Visual: Hearing, vision and talking We'll make list items. Qualifications: Education & Licensing: "5 years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred." Also Jurisdiction Knowledge: Nationwide Licensing: Home State Required. Could be separate but we can include as part of Qualifications. We'll list as
        . Benefits: from TAKING CARE OF YOU and later benefits paragraph. TAKING CARE OF YOU: "Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one." Later benefits paragraph: "A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits." Combine and deduplicate. We'll list benefits items: - Flexible work schedule - Referral incentive program - Opportunity to work in an agile environment - Career development and promotional growth opportunities - Medical, dental, vision coverage - 401(k) with matching (or 401K on day one) - PTO - Disability and life insurance - Employee assistance - Flexible spending or health savings account - Other additional voluntary benefits We need to avoid duplication: "medical, dental vision" and later "medical, dental, vision". We'll combine. Pay: "For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($63,00.00 - 88k)." We'll present as "$63,000.00 - $88,000"? But we must preserve exactly as given? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. So we should keep the exact text: "($63,00.00 - 88k)". Might be weird but we keep. Schedule: Already covered in benefits but we need a Schedule section if posting actually states it. It does: "Flexible work schedule." So we can have a Schedule section with that. But we already have flexible work schedule in benefits; but we can still have Schedule section with that detail. However we should avoid duplication? The instruction: Prefer a few substantive sections over many thin ones. Could combine schedule into Benefits? But they asked to include sections only when posting has real specific content for it. Schedule is present: "Flexible work schedule." So we should include a Schedule section with that. We could also note that benefits already mention flexible work schedule; but it's okay to have both? Might be duplication. Better to put schedule in its own section and not repeat in benefits. But benefits also mention flexible work schedule; we could keep it there as part of benefits but then schedule section would be duplicate. To avoid duplication, we could omit flexible work schedule from benefits list and keep only in Schedule section. However the benefits paragraph also includes "A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one." It didn't mention flexible schedule there; actually the TAKING CARE OF YOU line includes "Flexible work schedule." So we could keep flexible schedule under Schedule section and not duplicate in benefits. Thus Benefits section will exclude flexible work schedule. Let's craft Benefits list: - Referral incentive program - Opportunity to work in an agile environment - Career development and promotional growth opportunities - Medical, dental

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