Bilingual Disability Claims Analyst in Group Insurance delivering expert client service and managing risk strategies. Collaborating with diverse teams to ensure successful claim outcomes and stakeholder communication.
About the role
- Claims Associate analyzing lower-level workers compensation claims at Sedgwick. Ensuring benefits determination and ongoing claims adjudication within company standards in Virginia.
Responsibilities
- Analyze reported lower-level workers compensation claims to determine benefits due
- Ensure ongoing adjudication of claims within company standards and industry best practices
- Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision
- Processes workers compensation claims determining compensability and benefits due
- Communicates claim action/processing with claimant, client and appropriate medical contact
- Maintains professional client relationships
Requirements
- High school diploma or GED required
- Licenses as required
- One (1) year of general office experience or equivalent combination of education and experience required
- Claims industry experience preferred
Benefits
- Flexible Work Schedule
- Referral Incentive Program
- Opportunity to work from home
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1
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