Workers Compensation Claims Associate

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $20 - $22 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

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Sedgwick

WebsiteLinkedInAll Job Openings

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 claims representatives, examiners, and leads with larger or more complex claims • Process workers compensation claims, determining compensability and benefits due • Monitor reserve accuracy • 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, prescriptions, and status reports for lifetime or defined-period medical claims • Maintain professional client relationships

🎯 Requirements

• High school diploma or GED required • Strong oral and written communication skills • Computer literacy, including Microsoft Office • Organizational skills • 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 • Clerical or customer service experience, or equivalent combination of education and experience, preferred • Ability to perform computer keyboarding • Hearing, vision, and talking abilities

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • 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