Hybrid Medical Workers' Comp Claims Associate

Sedgwick Claims Management Services Ltd; Chicago (IL, MO); Hybrid; USD 27.000 - 38.000; Vollzeit

Benefits dieser Stelle

Flexible schedule

Referral incentive

Agile environment

Career development

Benefits package

Zusammenfassung

Sedgwick is seeking a Claims Associate: Medical Only in Chicago, a hybrid role. You will analyze reported workers compensation claims to determine benefits due and drive adjudication in line with standards, with opportunities to support larger claims and collaborate with clients.

The ideal candidate has a high school diploma or GED, about one year of office experience, and licensing as required for the jurisdiction.

Qualifikationen

• Education: High school diploma or GED is required.
• Experience: One year of general office experience or equivalent.
• Licensing/Jurisdiction: Knowledge of licensing requirements for TX, MI, or FL.

Aufgaben

• 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.

Ausbildung

High school diploma or GED

Jobbeschreibung

Sedgwick is seeking a Claims Associate: Medical Only in Chicago, a hybrid role. You will analyze reported workers compensation claims to determine benefits due and drive adjudication in line with standards, with opportunities to support larger claims and collaborate with clients.

The ideal candidate has a high school diploma or GED, about one year of office experience, and licensing as required for the jurisdiction.