Remote Claims Support Specialist

Sedgwick; Honolulu (HI); Remote; USD 17,000 - 24,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k and matching

PTO

Disability insurance

Life insurance

Employee assistance

Health savings account

Job summary

Sedgwick is seeking a Claims Assistant for a remote US-based position. The role supports claims staff, handles clerical tasks, and maintains claim data, with responsibilities spanning note entry, scheduling, reporting, and document management.

The ideal candidate has a high school diploma or GED and at least six months of clerical or customer service experience, along with strong communication and organizational skills.

Qualifications

• High school diploma or GED required.
• Six months clerical or customer service experience or equivalent combination of education and experience.

Responsibilities

• Inputs and reviews notes/diaries in the claims management system.
• Answers and initiates telephone calls, sets up medical appointments, and provides customer service as required.
• Prepare and distribute computer reports and other activities/projects as assigned.
• Set up, assign, reassign, and reopen claims within the claims management system.
• Maintain claim data including policy, coverage, DOL, DOB, and account information.
• Process letters and other claim-related correspondence.
• Upload and manage claim documentation including legal files and medical records requests.
• Process settlement payments, expense invoices, and vendor setup requests.
• Respond to general emails, phone calls, auditor requests, and stakeholder inquiries.
• Generate loss runs and other claims-related reports.
• Review and enter claim notes and information into the system.
• Perform general administrative duties (mail, filing, scanning, etc.).
• Support special projects and other duties as assigned.

Skills

Oral communication

Written communication

PC literacy

Organizational skills

Team player

Performance competencies

Education

High school diploma or GED

Six months clerical or customer service experience

Job description

Sedgwick is seeking a Claims Assistant for a remote US-based position. The role supports claims staff, handles clerical tasks, and maintains claim data, with responsibilities spanning note entry, scheduling, reporting, and document management.

The ideal candidate has a high school diploma or GED and at least six months of clerical or customer service experience, along with strong communication and organizational skills.