Claims Representative Trainee | Workers Compensation | Pasadena, CA jobs in United States
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Sedgwick · 14 hours ago

Claims Representative Trainee | Workers Compensation | Pasadena, CA

Sedgwick is a company that provides meaningful support to individuals facing unexpected challenges. They are seeking an enthusiastic individual for an entry-level Claims Representative Trainee position, which includes a comprehensive training program to develop skills in claims adjusting.

BankingInsuranceRisk Management

Responsibilities

Attendance and completion of designated claims professional training program
Adjusting various levels of workers’ compensation claims under close supervision, which includes:
Processing and responding to incoming mail, emails and other claim related documents according to status of the claim
Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email
Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer/employee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators
Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements
Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations
Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance
Participating in virtual and/or in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings

Qualification

CommunicatorsEmpatheticMulti-TaskersAccountableStructured ThinkersAmbitiousAgile LearnersTeam Collaborators

Required

High School Diploma or GED
Strong Communicators
Empathetic
Multi-Taskers
Accountable
Structured Thinkers
Ambitious
Agile Learners
Team Collaborators

Benefits

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