Claims Representative – Workers Comp, some experience needed
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Florida • North Carolina • United States
Visit company websiteExplore more
About the role
- To process low level workers compensation claims to determine benefits due.
- To ensure ongoing adjudication of claims within company standards and industry best practices.
- To identify subrogation of claims and negotiate settlements with general supervision.
- Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
- Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
- Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
- Communicates claim action with claimant and client.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementworkers compensation claims processingadjudicationnegotiationreserve accuracy monitoringdocumentation filingaction plan developmentreturn-to-work coordinationclaim payment administration
Soft Skills
communicationorganizational skills
Certifications
Claims Representative training