Sedgwick
Sedgwick
Sedgwick दुनिया भर के संगठनों को प्रौद्योगिकी-सक्षम जोखिम, लाभ और एकीकृत कारोबारी समाधान प्रदान करता है। इसके कार्यों में दुर्घटना, स्वास्थ्य, विकलांगता, बेरोज़गारी मुआवज़े और देयता दावों का प्रबंधन शामिल है। साथ ही, कंपनी परामर्श, फॉरेंसिक लेखांकन, फॉरेंसिक इंजीनियरिंग, संपत्ति बहाली, ब्रांड संरक्षण और हानि-निवारण सेवाएँ विकसित करती है। Sedgwick निर्माण, परामर्श, स्वास्थ्य सेवा, कृषि और पर्यावरणीय सेवाओं सहित विभिन्न उद्योगों में ग्राहकों का समर्थन करता है तथा विविधता, समानता, समावेशन और पर्यावरणीय, सामाजिक एवं शासन संबंधी प्रथाओं पर ध्यान केंद्रित करने की बात करता है।

Workers' Compensation Claims Associate

Process and adjudicate lower-level workers' compensation claims for Sedgwick, including benefit determinations, documentation, payments, and claimant communications in an onsite role.

विवरण

  • Review reported workers' compensation claims and determine eligible benefits
  • Adjudicate claims according to company standards and industry best practices
  • Handle medical-only and minor lost-time claims under close supervision
  • Assist claims representatives, examiners, and leads with complex claims
  • Process claims, assess compensability and benefits, monitor reserves, and submit required state documentation
  • Communicate claim decisions and processing updates with claimants, clients, and medical contacts
  • Maintain complete claim files and accurate coding
  • Process routine payments, prescriptions, and status reports for lifetime or defined-period medical claims
  • Build and maintain professional client relationships

आवश्यकताएँ

  • High school diploma or GED required
  • Required licenses must be obtained as applicable
  • At least one year of general office experience or an equivalent combination of education and experience
  • Claims industry experience is preferred
  • Strong conceptual and clear-thinking skills
  • Sound judgment with troubleshooting, problem-solving, analytical, and discretionary abilities
  • Ability to manage work-related stress
  • Ability to balance multiple priorities
  • Reliable deadline management
  • Computer keyboarding proficiency
  • Willingness to travel as required

लाभ

  • Flexible scheduling options
  • Employee referral incentive program
  • Career development and advancement opportunities
  • Medical, dental, and vision coverage
  • 401(k) eligibility beginning on the first day

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