Claims Representative (IAP) - Workers Compensation Training Program | Long Beach, CA

Sedgwick•Long Beach, CA

13h•Onsite

About The Position

Sedgwick is seeking enthusiastic and service-oriented individuals for an entry-level trainee position as a Claims Representative (IAP) in their Workers Compensation Training Program. This role offers an opportunity to develop a professional career with no prior experience required, in a stable and consistent office environment. The position begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience and an on-the-job phase. New professionals will be assigned a mentor and manager to support their career journey and equip them with foundational skills for a successful career in claims adjusting. Sedgwick is recognized as a great workplace, offering career development and promotional growth opportunities, along with a diverse and comprehensive benefits package.

Requirements

High School Diploma or GED
No experience required
Strong Communicator
Empathetic
Multi-Tasker
Accountable
Structured Thinker
Ambitious
Agile Learner
Team Collaborator

Responsibilities

Attendance and completion of designated claims professional training program
Adjusting various levels of workers’ compensation claims under close supervision
Processing and responding to incoming mail, emails and other claim related documents according to status of the claim
Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email
Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements
Investigating employer/employee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators
Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements
Documenting claims files and properly coding claim activity
Preparing detailed reports documenting findings and recommendations
Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance
Participating in virtual and/or in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings