Medical-Only Claims Specialist — Remote/Hybrid

Sedgwick; Olympia (WA); Hybrid; USD 41.000 - 57.000; Vollzeit

Benefits dieser Stelle

Flexible schedule

Referral bonus

Agile environment

Career development

Benefits package

Zusammenfassung

Sedgwick, a global leader in claims administration, seeks a Claims Representative - Med Only to analyze medical claims for clients across multiple states. The role offers a hybrid schedule with part-time remote work where applicable and a strong focus on development and balance.

Primary duties include analyzing claims, negotiating settlements, and communicating with claimants and clients, along with coordination with excess carriers.

Qualifikationen

• High School Diploma or GED required; Bachelor's degree preferred.
• 2 years of claims management experience or equivalent.
• Multi-state jurisdiction knowledge.
• Licensing: Home State required.

Aufgaben

• Analyze and process Medical Only claims to determine exposure and timely resolution.
• Negotiate settlements within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to the excess carrier and respond to directions promptly.

Kenntnisse

Claims processing

Negotiation

Communication

Attention to detail

Ausbildung

High School Diploma or GED

Bachelor's degree preferred

Professional certification where applicable

Jobbeschreibung

Sedgwick, a global leader in claims administration, seeks a Claims Representative - Med Only to analyze medical claims for clients across multiple states. The role offers a hybrid schedule with part-time remote work where applicable and a strong focus on development and balance.

Primary duties include analyzing claims, negotiating settlements, and communicating with claimants and clients, along with coordination with excess carriers.