Investigator
Sedgwickcms - Philadelphia, PA

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Investigator

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, “Claim Your Future.”

PRIMARY PURPOSE : To conduct surveillance investigation of worker's compensation, liability and personal injury claims in order to document the physical activities of a claimant.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Conducts vehicular and non-vehicular surveillance of assigned subjects using digital video cameras and other related surveillance equipment.
  • Documents activities videotaped and/or observed in a detailed, professional investigative report using laptop computer.
  • Transmits investigative reports, video snips and video clips of documented activity via laptop computer and related transmission devices according to deadline requirements.
  • Reports hours worked, expenses, mileage and other case specific data to the SIU Team Lead through the established daily process requirement.
  • Under the guidance of the team lead, occasionally conducts special investigations including recorded statements and interviews, alive and well checks and neighborhood canvasses.
  • On a limited basis, communicates investigative results with claims examiners and clients.
  • ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.
  • QUALIFICATIONS

    Education & Licensing
    Baccalaureate degree from an accredited college or university preferred. Appropriate jurisdictional licensing required.

    Experience
    One (1) year of claims industry, law enforcement and/or fraudulent claims surveillance experience or equivalent combination of education and experience required.

    Skills & Knowledge
    • Thorough knowledge of claims management processes and procedures
    • Excellent oral and written communication, including presentation skills
    • PC literate, including Microsoft Office products
    • Analytical and interpretive skills
    • Strong organizational skills
    • Excellent interpersonal skills
    • Excellent negotiation skills
    • Good judgment and discretion skills
    • Ability to manage multiple projects and set priorities
    • Ability to work 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

    NOTE : Credit security clearance, confirmed via a background credit check, is required for this position .

    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

    Additional Information:
    N/A

    Sedgwick Claims Management Services - 21 months ago - save job - copy to clipboard
    About this company
    195 reviews
    Unlike Kyra, this Sedgwick probably can't play the "Six Degrees of Kevin Bacon" game, but it can help employers save a little...