Claim Representative

3 weeks ago

Concord, United States Sedgwick Full time

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer

Claim Representative - IAP WC (ON-SITE Concord, CA)

PRIMARY PURPOSE: To be oriented and trained as new industry professional with the ability to analyze workers compensation, general liability or disability claims and determine benefits due.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Attendance and completion of designated classroom claims professional training program.
  • Performs on-the-job training activities including:
    • Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims.
    • Adjusting low and mid-level liability and/or physical damage claims under close supervision.
    • Processing disability claims of minimal disability duration under close supervision.
    • Documenting claims files and properly coding claim activity.
    • Communicating claim action/processing with claimant and client.
    • Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned.
  • Participates in rotational assignments to provide temporary support for office needs.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred or equivalent experience as outlined below.

Experience
No experience required with college degree. State license, self-insured certificate, WCCA/WCCP designation, or completion of the Sedgwick Claims Progression Program required without a degree. Prior claims experience preferred.

Skills and Knowledge
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies


WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $27.69/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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