Claims Representative (IAP) - Claims Training Program

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.

We're seeking enthusiastic and service-oriented individuals for an entry-level trainee position as a Claims Representative (IAP) in our Claims Training Program.

Primary Purpose of the Role: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated 2-week onboarding experience before entering the on-the-job phase.

Essential Responsibilities Include:

• Attendance and completion of designated claims professional training program.
• Adjusting various levels of claims under close supervision, which includes:
• Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
• Communicating effectively with insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email.
• Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements.
• Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements.
• Documenting claims files and properly coding claim activity.
• Administering claim benefits.

Qualifications:

• Education Requirement – High School Diploma or GED.
• Bachelor's degree preferred and 2 years of customer service experience and/or combination of education and experience.

Work Environment Requirements:

• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion.
• Physical: Computer keyboarding.
• Auditory/Visual: Hearing, vision and talking.

Benefits:

• A comprehensive benefits package including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Salary Range: $27.69/hr

Locations: Onsite in multiple cities within the state of CA, including Roseville, Pasadena, West Hills, Riverside, Ontario, Orange, Long Beach, Rancho Cucamonga, Rancho Cordova, Concord, Brea, and Glendale.