[Remote] Workers Compensation Claims Associate | CO, UT, WY Jurisdictions | Prior Claims Experience Preferred

Note: The job is a remote job and is open to candidates in USA. Sedgwick is a company dedicated to supporting people facing unexpected challenges, and they are seeking a Workers Compensation Claims Associate. This role involves analyzing lower-level workers compensation claims to determine benefits due and ensuring claims are adjudicated according to company standards and best practices.

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

Skills

• High school diploma or GED required
• Strong oral and written communication skills required
• Computer literate – including Microsoft Office required
• Organizational skills required
• One (1) year of general office experience or equivalent combination of education and experience required
• Prior Claims experience preferred
• Clerical or customer service experience or equivalent combination of education and experience 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 Overview