Workers' Comp Claims Specialist – Honolulu (On-Site)

Sedgwick Claims Management Services Ltd; Honolulu (HI); On-site; USD 33,000 - 39,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K on day one

Flexible schedule

Referral incentive program

Career development

Job summary

Sedgwick in Honolulu, HI is seeking a Claims Associate - Workers Compensation to analyze low level claims and adjudicate benefits. You will work on-site in our office and partner with clients to deliver timely, accurate decisions while upholding Sedgwick’s caring counts culture.

Ideal candidates have a high school diploma, at least one year of office experience, and interest in workers compensation. Training and development opportunities accompany a comprehensive benefits package.

Qualifications

• High school diploma or GED required.
• One year of general office 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

Licenses as required

Job description

Sedgwick in Honolulu, HI is seeking a Claims Associate - Workers Compensation to analyze low level claims and adjudicate benefits. You will work on-site in our office and partner with clients to deliver timely, accurate decisions while upholding Sedgwick’s caring counts culture.

Ideal candidates have a high school diploma, at least one year of office experience, and interest in workers compensation. Training and development opportunities accompany a comprehensive benefits package.