Sr Medicare Associate

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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Sr Medicare Associate

PRIMARY PURPOSE : To gather documentation required to complete Medicare Compliance referrals and process Medicare mail electronically in a timely manner;

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Reviews JURIS and the Medicare Compliance system to determines appropriate course of action and acknowledge Medicare assignments and mail

Review and sort emails in Microsoft Outlook from clients, carriers, examiners and attorneys to add to the Medicare Compliance system

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

Assists in training new departmental colleagues

Assists with special client projects as needed

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned

Supports the organizations quality program(s)

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

One (1) year of general office experience required. Claims or medical records/billing industry experience preferred. Two (2) years of experience as Medicare Associate required.

Skills & Knowledge

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

Ability to meet or exceed Performance Competencies

Self motivated and proactive

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 youre excited about this role but your experience doesnt 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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)