Claims Adjuster handling commercial claims for an innovative insurance startup utilizing real - time data. Collaborating with a global team and driving successful claims outcomes in a high - growth environment.
About the role
- Claims Associate managing worker's compensation claims at Sedgwick. Analyzing claims, determining benefits, and maintaining client relationships in a hybrid role.
Responsibilities
- Analyze reported lower-level workers compensation claims to determine benefits due
- Ensure ongoing adjudication of claims within company standards and industry best practices
- 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
- Communicate claim action/processing with claimant, client and appropriate medical contact
- Ensure claim files are properly documented and claims coding is correct
- Maintain professional client relationships
- Perform other duties as assigned
Requirements
- High school diploma or GED required
- One (1) year of general office experience or equivalent combination of education and experience required
- Claims industry experience preferred
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
Job title
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