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Sedgwick · 1 day 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 leading company in the insurance sector, dedicated to providing meaningful support to clients. The Workers Compensation Claims Associate role involves analyzing lower-level workers compensation claims to determine benefits due and ensuring claims are processed 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

Workers compensation claimsMicrosoft OfficeCommunication skillsOrganizational skillsCustomer service experience

Required

High school diploma or GED required

Strong oral and written communication

Computer literate – including Microsoft Office

Organizational skills required

Preferred

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

Benefits

Medical

Dental

Vision

401K on day one

Referral incentive program

Career development and promotional growth opportunities

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.