# Claims Associate - Workers Compensation (100% Onsite)

**Company**: Sedgwick
**Location**: Meridian, ID
**Work arrangement**: onsite
**Experience**: entry
**Job type**: full-time
**Salary**: $17.00 - $25.00
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Meridian-ID/Claims-Associate---Workers-Compensation--100--Onsite-_R79750?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_acadd662-d6d

## 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 oversee components of the Nevada Workers' Compensation claims process, ensuring claim activities are completed accurately and within applicable timeframes.

**Primary Purpose of the Role** To oversee components of the Nevada Workers' Compensation claims process, ensuring claim activities are completed accurately and within applicable timeframes. This role provides focused oversight of specific claim functions.

**Essential Responsibilities May Include**

- Tracks and reports on timeliness of key aspects of the Workers' Compensation claims process, including denials, settlements, required timeframes, payments, filings, and other assigned claim activities.

- Monitors claims to ensure required actions, payments, documentation, and filings are completed accurately and within established timeframes.

- Provides oversight of specific portions of the claims process to help ensure compliance with Nevada Workers' Compensation requirements and internal standards.

- Reviews claim activity and documentation to identify outstanding or time-sensitive items requiring action or follow-up.

- Coordinates with claims examiners, leadership, and appropriate parties to support timely completion of claim activities.

- Assists with the preparation, review, and submission of required claim documentation and regulatory filings.

- Monitors the timely processing of benefits and payments and follows up on outstanding items as appropriate.

- Supports the handling of denials and settlements by ensuring required documentation, notices, approvals, and related activities are completed within applicable timeframes.

- Identifies potential delays, missing information, or process issues and works with the appropriate parties toward resolution.

**Additional Functions and Responsibilities**

- Performs other duties as assigned.

- Supports the organization's quality and compliance programs.

- Assists with additional Workers' Compensation activities as business needs require.

**Qualifications**

- Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Must possess or be able to obtain the applicable Nevada Workers' Compensation claims certification/credential required for the position.

- Experience: 1 year of claims management experience or equivalent combination of education and experience required. Experience supporting or managing claim activities involving regulatory timeframes, payments, filings, denials, settlements, or similar claim functions strongly preferred.

**Taking Care of You**

- 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.

**Work Environment Requirements**

- Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem-solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

- Physical: Computer keyboarding, travel as required.

- Auditory/Visual: Hearing, vision, and talking.

The range of starting pay for this role is ($17.00 - $25.00). A comprehensive benefits package is offered, 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.

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## Skills

### Required
- Workers' Compensation
- claims management
- regulatory compliance

### Nice to have
- Nevada Workers' Compensation claims certification
- claims examination

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Meridian-ID/Claims-Associate---Workers-Compensation--100--Onsite-_R79750?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)