Claims Associate – Workers Compensation

🔥 0 minutes ago

🌵 Arizona, Colorado, +2 more states – Remote

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💵 $20 - $24 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Sedgwick

Sedgwick

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• 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, determining compensability and benefits due • Monitor reserve accuracy and file necessary documentation with state agency • Communicate claim action 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 • Maintain professional client relationships

🎯 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 • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Ability to handle multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Hearing, vision and talking

🏖️ Benefits

• Career development and promotional growth opportunities • Flexible work schedule • Ability to work in an agile environment • Referral incentive program • Medical insurance • Dental insurance • Vision insurance • 401K and matching • PTO • Disability insurance • Life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Reasonable accommodations • Equal Opportunity Employer • Drug-Free Workplace

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