[Remote] Workers Compensation Claims Associate | CO, UT, WY Jurisdictions | Prior Claims Experience Preferred
Note: The job is a remote job and is open to candidates in USA. Sedgwick is a company dedicated to supporting people facing unexpected challenges, and they are seeking a Workers Compensation Claims Associate. This role involves analyzing lower-level workers compensation claims to determine benefits due and ensuring claims are adjudicated according to company standards and best practices.
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
Skills
- High school diploma or GED required
- Strong oral and written communication skills required
- Computer literate – including Microsoft Office required
- Organizational skills required
- One (1) year of general office experience or equivalent combination of education and experience required
- Prior Claims experience preferred
- Clerical or customer service experience or equivalent combination of education and experience preferred
- Claims industry experience preferred
Benefits
- Medical
- Dental
- Vision
- 401K on day one
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
Company Overview