Workers Compensation Claims Associate | Rancho Cordova (Onsite)

SedgwickRancho Cordova, CA
$21 - $23Onsite

About The Position

This role is for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. The primary purpose of the role is to be oriented and trained as a new industry professional with the ability to analyze workers compensation claims and determine benefits due. This position requires no prior experience and offers an opportunity to develop a professional career with career development and promotional growth opportunities through increasing responsibilities. A diverse and comprehensive benefits package is offered to take care of your mental, physical, financial and professional needs.

Requirements

  • High school diploma or GED required
  • Strong oral and written communication skills
  • Computer literate – including Microsoft Office
  • Organizational skills required
  • Clerical or customer service experience or equivalent combination of education and experience preferred

Responsibilities

  • Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
  • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
  • Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
  • Communicates claim action/processing with claimant, client and appropriate medical contact.
  • Ensures claim files are properly documented, and claims coding is correct.
  • May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
  • Maintains professional client relationships

Benefits

  • Flexible work schedule
  • Ability to work in an agile environment
  • Referral incentive program
  • Career development and promotional growth opportunities
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401K
  • 401K matching
  • PTO
  • Disability insurance
  • Life insurance
  • Employee assistance program
  • Flexible spending account
  • Health savings account
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