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Quality Control Representative - Heavy Equipment/Specialty

Sedgwick Claims Management Services, Inc.
  • NM
    6 days ago

    Job 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

    Quality Control Representative - Heavy Equipment/Specialty

    PRIMARY PURPOSE: The Quality Control Representative ensures accuracy, consistency, and compliance in Specialty claim files and processes. This role supports operational excellence through detailed audits and promotes continuous improvement across teams.

    ESSENTIAL FUNCTIONS and RESPONSIBILITIES

    • Review claim files for completeness, accuracy, and adherence to company and client-specific standards.
    • Identify errors, inconsistencies, and opportunities for improvement; document findings.
    • Ensure compliance with regulatory and client requirements

    ADDITIONAL FUNCTIONS and RESPONSIBILITIES

    • Participate in special projects and process improvement initiatives.
    • Assist with internal or external audit preparation as needed.
    • Perform other duties as assigned.

    QUALIFICATIONS

    Education & Licensing

    Bachelor's degree from an accredited college or university preferred.

    Experience

    • Minimum of 2 years in claims, auditing, or quality assurance.
    • At least 1 year of appraisal experience or equivalent combination of education and experience.
    • Experience in customer service or insurance environments preferred.

    Skills & Knowledge

    • Oral and written communication skills
    • PC literate, including Microsoft Office products
    • Analytical and interpretive skills
    • Strong organizational skills
    • Ability to work independently or in a team environment
    • Ability to meet or exceed Performance Competencies

    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 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.

    Numbers & Facts

    LocationNM
    IndustryManagement Consulting Services
    Company Size10,000 employees or more
    Year Founded1969
    Websitehttps://www.sedgwick.com/Pages/default.aspx

    Benefits

    Paid Sick Days, Performance Bonus, Professional Development, 401K, Employee Referral Program, Retirement / Pension Plans, Tuition Reimbursement, Work From Home, Life Insurance, Military Leave

    About Company

    Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

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