On-Site Workers' Comp Claims Associate

Sedgwick; Rancho Cordova (CA); In loco; USD 30.000 - 34.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible schedule

Referral incentive

Career development

Benefits package (medical, dental, 401

Descrizione del lavoro

Sedgwick in Rancho Cordova, CA or Orange, CA is seeking a Claims Associate to adjudicate workers' compensation claims and determine benefits due under supervision. You will process medical-only and lost-time claims, communicate with claimants and clients, maintain proper documentation, and support a growing claims team.

The role offers on-site work, a flexible schedule, development opportunities and a comprehensive benefits package.

Competenze

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

Mansioni

• 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.

Conoscenze

General office experience

Claims experience

Formazione

High school diploma or GED

Descrizione del lavoro

Sedgwick in Rancho Cordova, CA or Orange, CA is seeking a Claims Associate to adjudicate workers' compensation claims and determine benefits due under supervision. You will process medical-only and lost-time claims, communicate with claimants and clients, maintain proper documentation, and support a growing claims team.

The role offers on-site work, a flexible schedule, development opportunities and a comprehensive benefits package.