Workers Compensation Claims Associate | Hybrid Schedule

Sedgwick•Largo, MD

1d•Hybrid

About The Position

The Workers Compensation Claims Associate is oriented and trained as a new industry professional to analyze workers compensation claims and determine benefits due. The role adjusts medical-only and minor lost-time claims under close supervision and supports other claims representatives, examiners, and leads on larger or more complex claims as needed. It also involves processing claims, determining compensability and benefits, monitoring reserve accuracy, submitting required documentation to state agencies, communicating claim actions, maintaining accurate claim files and coding, and maintaining professional client relationships. The position is based in Sedgwick’s Hunt Valley, Maryland, or Largo, Maryland office, with a hybrid schedule of two days in the office and three days working from home. It offers career development and promotional growth opportunities, a flexible work schedule, and a comprehensive benefits package.

Requirements

High school diploma or GED.
Strong oral and written communication skills.
Computer literacy, including Microsoft Office.
Organizational skills.
Clerical or customer service experience, or an equivalent combination of education and experience, is preferred.

Nice To Haves

Clerical or customer service experience, or an equivalent combination of education and experience.

Responsibilities

Adjust medical-only claims and minor lost-time workers compensation claims under close supervision.
Support other claims representatives, examiners, and leads with larger or more complex claims as necessary.
Process workers compensation claims by determining compensability and benefits due.
Monitor reserve accuracy and file necessary documentation with state agencies.
Communicate claim actions and processing with claimants, clients, and appropriate medical contacts.
Ensure claim files are properly documented and claims coding is correct.
Process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims, as applicable.
Maintain professional client relationships.