Apply on Employer Site

Sedgwick · 1 day ago

Claims Associate - Workers Compensation - Richmond, VA - Hybrid - 2 -3 days in office per week

Richmond, VA

Full-time

Hybrid

Entry Level

$18/hr - $22.50/hr

1+ years exp

Sedgwick is a global industry leader in claims management services. The Claims Associate will analyze lower-level workers compensation claims, ensuring accurate adjudication and communication with claimants and clients while maintaining professional 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 processingWorkers compensation knowledgeGeneral office experienceProfessional client relationshipsCommunication skills

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

Preferred

Claims industry experience preferred

Benefits

Flexible Work Schedule

Referral Incentive Program

Opportunity to work from home

Career development and promotional growth opportunities

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1

Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits