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Sedgwick · 18 hours ago

Specialty Operations Coordinator

United States

Full-time

Remote

Entry Level

$17/hr - $23/hr

1+ years exp

Sedgwick is a leading claims management services company, and they are seeking a Specialty Operations Coordinator to analyze workers compensation claims. The role involves adjusting claims, processing documentation, and maintaining relationships with clients and stakeholders.

BankingInsuranceRisk Management

Responsibilities

Adjusts medical-only claims and low- to mid-level lost-time workers compensation claims under close supervision

Supports other claims staff with larger or more complex claims as necessary

Processes workers compensation claims reviewing compensability, benefits due, and files necessary documentation with state agency

Communicates claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact

Ensures claims files are properly documented and claims coding is correct

Maintains professional client relationships

Coordinates actuarial/settlement issues impacting employers with rate and settlement departments

Performs other duties as assigned

Supports the organization's quality program(s)

Qualification

Claims management experienceAnalytical skillsOrganizational skillsInterpersonal skillsPC literacyTeamworkCommunication skills

Required

High School diploma or GED required

Licenses as required

One (1) year of claims management experience or equivalent combination of education and experience required

Ability to meet or exceed Performance Competencies

Ability to work in a team environment

Good interpersonal skills

Strong organizational skills

Analytical and interpretive skills

PC literate, including Microsoft Office products

Excellent oral and written communication skills

Benefits

Three Medical, and two dental plans to choose from.

Tuition reimbursement eligible.

401K plan that matches 50% on every $ you put in up to the first 6% you save.

4 weeks PTO your first full year.

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.