Remote Claims Support Specialist

Sedgwick; Augusta (ME); Remote; USD 19,000 - 25,000; Full time

Job summary

Sedgwick is seeking a Claims Assistant to support the claims team and handle various office tasks for client programs. You will input and review notes in the claims management system, answer calls, set up medical appointments, generate reports, manage documents, and perform general administrative duties.

Qualifications include a high school diploma or GED and up to six months of clerical or customer service experience.

Qualifications

• Six months of clerical or customer service experience or equivalent combination of education and experience required.
• High school diploma or GED required.
• Excellent oral and written communication.
• PC literate, including Microsoft Office products.
• Strong organizational skills.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Responsibilities

• Inputs and reviews notes/diaries in claims management system as instructed.
• Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.
• Other activities/projects as assigned including the preparation and distribution of computer reports.
• Set up, assign, reassign, and reopen claims within the claims management system.
• Maintain claim data, including policy, coverage, date of loss (DOL), date of birth (DOB), and account information.
• Process letters, along with other claim-related correspondence.
• Upload and manage claim documentation, including legal files, policy documents, and medical records requests.
• Process settlement payments, expense invoices, returned checks, and vendor setup requests.
• Respond to general emails, phone calls, auditor requests, and other stakeholder inquiries.
• Generate reports, including loss runs and other claims-related reporting.
• Review and enter claim notes, diaries, and other information into the claims management system.
• Perform general administrative duties including mail processing, filing, scanning, faxing, and report distribution.
• Support special projects and other duties as assigned.
• Performs other duties as assigned.

Skills

Oral and written communication

MS Office

Organizational skills

Team player

Performance competencies

Education

High school diploma or GED

6 months clerical experience

Tools

Claims management system

Job description

Sedgwick is seeking a Claims Assistant to support the claims team and handle various office tasks for client programs. You will input and review notes in the claims management system, answer calls, set up medical appointments, generate reports, manage documents, and perform general administrative duties.

Qualifications include a high school diploma or GED and up to six months of clerical or customer service experience.