Workers' Comp Claims Specialist

Sedgwick; Roseville (CA); On-site; USD 30,000 - 34,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Benefits package

Job summary

Sedgwick in Roseville, CA is seeking a Claims Associate to analyze and adjudicate workers’ compensation claims under supervision. You will support a team of claims professionals and work closely with clients and medical contacts in a dynamic, service-focused environment.

The role offers an in-office work arrangement with potential for professional development, competitive hourly pay and a comprehensive benefits package. Prior office experience and a willingness to travel as needed are valued.

Qualifications

• High school diploma or GED required; Licenses as required.
• One (1) year of general office experience or equivalent combination of education and experience required.
• Claims industry experience preferred.

Responsibilities

• 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.

Education

High school diploma or GED

Job description

Sedgwick in Roseville, CA is seeking a Claims Associate to analyze and adjudicate workers’ compensation claims under supervision. You will support a team of claims professionals and work closely with clients and medical contacts in a dynamic, service-focused environment.

The role offers an in-office work arrangement with potential for professional development, competitive hourly pay and a comprehensive benefits package. Prior office experience and a willingness to travel as needed are valued.