Workers Compensation Claims Examiner adjudicating complex customer claims at Sedgwick. Delivering solutions in a hybrid work environment to meet client expectations.
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Onsite Claims Associate – Workers Compensation, Northeast States Preferred
Posted 9 hours ago
About the role
- Claims Associate analyzing claims for a global industry leader. Delivering customer-facing solutions with innovative problem-solving in the context of an energetic culture.
Responsibilities
- Analyze low-level claims on behalf of our valued clients to determine benefits due.
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiating settlement of claims within designated authority.
- Communicating claim activity and processing with the claimant and the client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
Requirements
- 2+ years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Active NY license preferred. If not already obtained, will be required to do so post-hire.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
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