Workers Compensation Claims Associate | Medical Only | Opportunity for Hybrid
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. This role is for an enthusiastic candidate to fill a Workers Compensation Representative 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 role offers career development and promotional growth opportunities through increasing responsibilities and a diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. 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.
Requirements
- High school diploma or GED required
- Strong oral and written communication
- 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
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, vision
- 401K on day one
- 401k and matching
- 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
