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Sedgwick · 1 week ago

Workers Compensation Claims Associate | Rancho Cordova (Onsite)

Rancho Cordova, CA

Full-time

Onsite

Entry Level

$21/hr - $24/hr

1+ years exp

Sedgwick is a company dedicated to helping people facing the unexpected, and they are seeking a Workers Compensation Claims Associate to analyze and process lower-level workers compensation claims. The role involves determining benefits due, ensuring claim files are documented correctly, and maintaining professional client relationships.

BankingInsuranceRisk Management

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

Performs other duties as assigned

Supports the organization's quality program(s)

Qualification

Claims industry experienceAnalytical skillsMicrosoft OfficeCommunication skillsOrganizational skillsInterpersonal skillsTeamwork

Required

High school diploma or GED required

Licenses as required

One (1) year of general office experience or equivalent combination of education and experience required

Excellent oral and written communication skills

PC literate, including Microsoft Office products

Analytical and interpretive skills

Strong organizational skills

Good interpersonal skills

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

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

Computer keyboarding, travel as required

Hearing, vision and talking

Credit security clearance, confirmed via a background credit check, is required for this position