Claims Associate – Workers' Compensation
Sedgwick
full-time
Posted on:
Location Type: Hybrid
Location: Portland • Oregon • 🇺🇸 United States
Visit company websiteSalary
💰 $19 - $25 per hour
Job Level
JuniorMid-Level
About the role
- Analyze reported lower-level workers compensation claims to determine benefits due
- Calculate benefits in accordance with state law and Sedgwick guidelines
- Provide administrative support as needed
- Support other claims representatives, examiners and leads with larger or more complex claims as necessary
- Process workers compensation claims determining compensability and benefits due
- Communicate claim action/processing with claimant, client and appropriate medical contact
- Ensure 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
- Maintain professional client relationships
Requirements
- High school diploma or GED required
- Licenses as required
- One (1) year of general office experience or equivalent combination of education and experience required
- Claims industry experience preferred
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
workers compensation claimsclaims processingbenefits calculationclaims codingadministrative supportmedical claims processing
Soft skills
communicationclient relationship managementsupportteam collaboration
Certifications
high school diplomaGED