Claims Associate: Growth, Impact & On-Site Work

Sedgwick Claims Management Services Ltd; Riverside (CA, IA); Presencial; USD 71.635.000 - 80.231.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Referral incentive program

Flexible work schedule

Comprehensive benefits package

Descripción de la vacante

Sedgwick, a global leader in claims management, is seeking a Workers' Compensation - Claims Associate in Riverside, CA or Ontario, CA (onsite). You will analyze low-level workers' compensation claims to determine benefits due and support adjudication to company standards.

Responsibilities include adjusting medical-only claims, assisting with larger claims, processing payments and maintaining accurate documentation, while building professional client relationships and contributing to Sedgwick's

Formación

• High school diploma or GED.
• One year of general office experience.
• Claims industry experience preferred.

Responsabilidades

• Adjusts medical-only claims and minor lost-time workers' compensation claims under close supervision.
• Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
• Processes workers' compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
• Communicates claim actions/processing with claimant, client and appropriate medical contact.
• Ensures claim files are properly documented and claims coding is correct.
• May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
• Maintains professional client relationships.

Educación

High school diploma or GED

Descripción del empleo

Sedgwick, a global leader in claims management, is seeking a Workers' Compensation - Claims Associate in Riverside, CA or Ontario, CA (onsite). You will analyze low-level workers' compensation claims to determine benefits due and support adjudication to company standards.

Responsibilities include adjusting medical-only claims, assisting with larger claims, processing payments and maintaining accurate documentation, while building professional client relationships and contributing to Sedgwick's