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Sedgwick · 1 day ago

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

Los Angeles, CA

Full-time

Onsite

New Grad, Entry Level

$18/hr - $21/hr

Sedgwick is a company dedicated to providing meaningful support to individuals facing unexpected challenges. They are seeking a Workers Compensation Claims Associate to analyze reported lower-level claims, ensuring benefits are determined and claims are adjudicated according to company standards.

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 OfficeCommunicationOrganizational skillsClerical experienceCustomer service experience

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.

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.