Remote Medical Claims Specialist

Sedgwick; Salem (OR); Hybrid; USD 41,000 - 57,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional成长机会

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a Claims Representative for Medical Only with jurisdiction across multiple states. The role analyzes Medical Only claims to determine benefits due and ensures timely adjudication aligned with client requirements.

The position offers a hybrid work schedule near Sedgwick offices and opportunities for growth, flexible work arrangements, and a comprehensive benefits package. No prior experience is required for the right candidate.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Experience: 2 years of claims management experience or equivalent combination of education and experience required.
• Licensing: Home State Required.

Responsibilities

• Analyzing and processing Medical Only claims to determine exposure and resolve them timely.
• Negotiating settlement within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions professionally.

Education

High School Diploma or GED

Bachelor's degree from an accredited college or university preferred

Job description

Sedgwick is seeking a Claims Representative for Medical Only with jurisdiction across multiple states. The role analyzes Medical Only claims to determine benefits due and ensures timely adjudication aligned with client requirements.

The position offers a hybrid work schedule near Sedgwick offices and opportunities for growth, flexible work arrangements, and a comprehensive benefits package. No prior experience is required for the right candidate.