Remote Med-Only Claims Specialist

Sedgwick; Denver (CO); Hybrid; USD 41,000 - 57,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Agile environment

Career growth

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Representative - Med Only to analyze Medical Only claims across multi-state jurisdictions. The role involves adjudicating benefits, negotiating settlements, and maintaining client communication.

Hybrid work options apply, with remote flexibility for eligible candidates, and strong focus on career growth. The ideal candidate has a high school diploma or GED with 2 years of claims experience; a Bachelor's degree is preferred.

Qualifications

• Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Experience: 2 years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: Multi State; Licensing: Home State Required

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner

Skills

Claims management

Analytical thinking

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Representative - Med Only to analyze Medical Only claims across multi-state jurisdictions. The role involves adjudicating benefits, negotiating settlements, and maintaining client communication.

Hybrid work options apply, with remote flexibility for eligible candidates, and strong focus on career growth. The ideal candidate has a high school diploma or GED with 2 years of claims experience; a Bachelor's degree is preferred.