Analyze reported lower - level general liability claims for Sedgwick. Ensure ongoing adjudication of claims within company standards and industry best practices while working in a hybrid schedule.
WC
Hybrid Claims Representative I – Workers Compensation, Medical Only
Posted last week
About the role
- Claims Representative managing low-complexity workers' compensation medical claims. Conducting thorough investigations and collaborating under supervision with team support and cutting-edge technology.
Responsibilities
- Manage assigned Workers Compensation Medical Only/low complexity claims with supervision and guidance from the manager utilizing current Claims technology.
- Conduct thorough investigations in order to determine coverage and claim payment amounts owed.
- Responsibilities also include proactive file management, adequate reserving, and participating in training activities.
- Consistently exhibit a high level of customer service.
- Adhere to department audit guidelines.
- Conduct thorough investigations to determine coverage and payment.
- Maintain proactive file management and adequate reserving.
- Participate in training activities.
Requirements
- 0-2 years of experience in claims handling
- Proficiency with computers and current technology
- Interpersonal skills
- Oral and written communication skills
- Time management skills
- Customer service skills
- Problem-solving skills
- Bachelor’s degree in Business, Insurance or related field
Benefits
- Medical & Prescription Insurance
- Health Savings Account
- Dental Insurance
- Vision Insurance
- Short and Long Term Disability
- Flexible Spending Accounts
- Life and Accidental Death & Disability
- Accident and Critical Illness Insurance
- Employee Assistance Program
- 401(k) Plan with Company Match
- Pet Insurance
- Paid Time Off . Standard first year PTO is 17 days , pro-rated based on month of hire.
- Enhance d PTO may be available for experienced candidates
- Bonus eligible based on performance
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