Claims Technician l Portland, OR l In Office
About The Position
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 Technician l Portland, OR l In Office Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE OF THE ROLE: To provide technical claims support to the claims staff and customer service to claimants, clients and vendors.
Requirements
- High school diploma or GED required.
- One (1) year of clerical or customer service experience or equivalent combination of experience and education required.
Responsibilities
- Calculates average weekly wage and compensation rate; submits to examiner for approval.
- Calculates and schedules weekly Total Temporary Disability/Total Permanent Disability (TTD/TPD) indemnity payments; submits to examiner for approval.
- Calculates and verifies court ordered payments and issues timely; submits to examiner for approval.
- Calculates cost of living adjustments (COLA) per state requirements; submits to examiner for approval.
- Handles utilization review, vendor, claimant and client calls for the claim's examiners.
- Submits approved bills to the bill review vendor for payment.
- Calculates and processes out-of-pocket expenses and manual bills for vendors and claimants.
- Performs administrative duties, such as filing, copying, etc., as required.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
Benefits
- Flexible Work Schedule
- Referral Incentive Program
- Opportunity to work from home
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
