Medical Claims Analyst

Sedgwick Claims Management Services Ltd; Texas; Hybrid; USD 26,000 - 39,000; Full time

Benefits offered by this job

Flexible schedule

Career development

Comprehensive benefits

401K on day one

Hybrid work option

Referral incentive program

Job summary

Sedgwick is seeking a Claims Associate to analyze medical claims and determine benefits due for our clients, with emphasis on timely adjudication and accuracy. You will investigate information, negotiate settlements within authority, and keep clients informed of claim progress.

This role supports a hybrid work schedule in a fast-paced environment, offering professional development, competitive benefits, and the chance to work with some of the world's leading brands on complex multi-state claims.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Certification as applicable to line of business is preferred.
• Experience: 2 years of claims management experience or equivalent.

Responsibilities

• Analyzing and processing claims through action plans to determine exposure and resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with claimant and client.
• Reporting claims to the excess carrier and responding to directions.

Skills

Analytical thinking

Negotiation

Communication

Time management

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a Claims Associate to analyze medical claims and determine benefits due for our clients, with emphasis on timely adjudication and accuracy. You will investigate information, negotiate settlements within authority, and keep clients informed of claim progress.

This role supports a hybrid work schedule in a fast-paced environment, offering professional development, competitive benefits, and the chance to work with some of the world's leading brands on complex multi-state claims.