Flexible Schedule: Workers' Comp Claims Associate

Sedgwick; Honolulu (HI); On-site; USD 30,000 - 33,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Comprehensive benefits

Job summary

Sedgwick in Honolulu, HI is seeking a Claims Associate - Workers Compensation to join our in-office team. You will analyze low-to-medium complexity workers' compensation claims and adjudicate benefits, while supporting a culture focused on care, collaboration, and client service.

This role offers an on-site work arrangement, learning and career growth, and a comprehensive benefits package. Candidates should have at least a year of office experience and high school diploma, with licensing as

Qualifications

• High school diploma or GED; licenses as required.
• One year of general office experience; claims industry experience preferred.

Responsibilities

• 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 action/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.

Education

High school diploma or GED

Job description

Sedgwick in Honolulu, HI is seeking a Claims Associate - Workers Compensation to join our in-office team. You will analyze low-to-medium complexity workers' compensation claims and adjudicate benefits, while supporting a culture focused on care, collaboration, and client service.

This role offers an on-site work arrangement, learning and career growth, and a comprehensive benefits package. Candidates should have at least a year of office experience and high school diploma, with licensing as