Sedgwick
Sedgwick
Sedgwick oferă organizațiilor din întreaga lume soluții tehnologice pentru gestionarea riscurilor, beneficiilor și a unor servicii de afaceri integrate. Activitatea sa include administrarea dosarelor de daună pentru accidente, sănătate, dizabilitate, compensații de șomaj și răspundere, precum și servicii de consultanță, contabilitate judiciară, inginerie judiciară, restaurarea proprietăților, protejarea mărcilor și prevenirea pierderilor. Sedgwick sprijină clienți din sectoare precum construcțiile, consultanța, sănătatea, agricultura și serviciile de mediu, punând un accent declarat pe diversitate, echitate, incluziune și practicile de mediu, sociale și de guvernanță.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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