Workers Compensation Claims Associate | West Hills, CA (In-office) jobs in United States
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Sedgwick · 1 day ago

Workers Compensation Claims Associate | West Hills, CA (In-office)

Sedgwick is a leading claims management services company dedicated to helping people facing unexpected challenges. They are seeking a Workers Compensation Claims Associate to analyze and process lower-level workers compensation claims while ensuring adherence to company standards and industry best practices.

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

Microsoft OfficeCommunicationClerical experienceCustomer service experienceOrganizational skills

Required

High school diploma or GED required
Strong oral and written communication skills required
Computer literate – including Microsoft Office required
Organizational skills required

Preferred

Clerical or customer service experience or equivalent combination of education and experience preferred

Benefits

Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits

Company

Sedgwick

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Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.

Funding

Current Stage
Late Stage
Total Funding
$1.5B
Key Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired

Leadership Team

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Michael Arbour
Chairman & Chief Executive Officer
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Kalani Reelitz
Global Chief Financial Officer
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Company data provided by crunchbase