Apply on Employer Site

Sedgwick · 11 hours ago

Workers Compensation Claims Associate | Rancho Cordova, CA (In-office)

Rancho Cordova, CA

Full-time

Onsite

New Grad, Entry Level

$22/hr - $25/hr

Sedgwick is a company dedicated to helping people facing unexpected challenges, and they are seeking a Workers Compensation Claims Associate. This role involves analyzing reported lower-level workers compensation claims to determine benefits due and ensuring ongoing adjudication of claims within 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)