Description
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 looking for a Claims Associate - Workers Compensation to join our team in Rancho Cordova, CA or Orange, CA. As a Claims Associate, you will analyze reported lower-level workers compensation claims to determine benefits due and ensure ongoing adjudication of claims within company standards and industry best practices.
Responsibilities:
- Adjust medical-only claims and minor lost-time workers compensation claims under close supervision.
- Support other claims representatives, examiners, and leads with larger or more complex claims as necessary.
- Process workers compensation claims determining compensability and benefits due; monitor reserve accuracy, and file necessary documentation with state agency.
- Communicate claim action/processing with claimant, client, and appropriate medical contact.
- Ensure 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.
- Maintain professional client relationships.
Requirements:
- High school diploma or GED; licenses as required.
- One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
Benefits:
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
The salary range for this role is $22-25/hr.