Claims Associate - Workers Compensation (IN-OFFICE- must be local to Hunt Valley, MD/ MED ONLY experience jobs in United States
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Sedgwick · 6 hours ago

Claims Associate - Workers Compensation (IN-OFFICE- must be local to Hunt Valley, MD/ MED ONLY experience

Sedgwick is a global industry leader committed to helping people facing unexpected challenges. The Claims Associate role involves analyzing workers compensation claims to determine benefits due, ensuring proper documentation, and maintaining professional client relationships.

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)
Travels as required

Qualification

Workers Compensation ClaimsClaims ProcessingMedical Claims AdjustmentClient Relationship ManagementCommunication Skills

Required

High school diploma or GED required
One (1) year of general office experience or equivalent combination of education and experience required

Preferred

Claims industry experience preferred

Benefits

Medical
Dental
Vision
401K on day one
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