Claims Associate, Workers Compensation, Medical-Only
Sedgwick
full-time
Posted on:
Location Type: Office
Location: Phoenix • Arizona • 🇺🇸 United States
Visit company websiteSalary
💰 $17 - $22 per hour
Job Level
JuniorMid-Level
About the role
- To analyze reported lower-level workers compensation claims to determine benefits due
- 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.
Requirements
- High school diploma or GED required
- Licenses as required
- AZ certification / license preferred, not required
- One (1) year of general office experience or equivalent combination of education and experience required
- Claims industry experience preferred.
Benefits
- Flexible Work Schedule
- Referral Incentive Program
- Opportunity to work from home
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims processingclaims codingmedical claims adjustmentreserve accuracy monitoringdocumentation filing
Soft skills
communicationclient relationship managementsupporting team members
Certifications
AZ certificationGED