Claims Representative Trainee IAP

2 days ago

Honolulu, 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

Claims Representative Trainee IAP - Entry Level - (In-Office)

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

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

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.

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 per hour. 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.

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.

  • Healthcare Claims Specialist

    5 days ago

    Honolulu, Hawaii, United States University Health Alliance Full time

    Job Summary:We are seeking a skilled Healthcare Claims Specialist to join our team at University Health Alliance. In this role, you will be responsible for the validation of scanned claims and processing assigned Electronic Data Interchange (EDI) and/or paper claims.Key Responsibilities:- Validate Optical Character Recognition (OCR) of scanned claims- Review...

  • Network Management Representative

    3 days ago

    Honolulu, United States HMSA Full time

    a. Responsible for initiating and providing face-to-face support to new providers interested in joining HMSA's network. This includes, but is not limited to, contracting and on-boarding to ensure that there are no unnecessary delays in the process. It involves conducting new provider orientation & on-going training related to claims filing, E-Library, HHIN,...

  • Network Management Representative

    6 days ago

    Honolulu, United States Hawaii Medical Service Association Full time

    a. Responsible for initiating and providing face-to-face support to new providers interested in joining HMSA's network. This includes, but is not limited to, contracting and on-boarding to ensure that there are no unnecessary delays in the process. It involves conducting new provider orientation & on-going training related to claims filing, E-Library, HHIN,...

  • Network Management Representative Specialist

    4 days ago

    Honolulu, Hawaii, United States HMSA Full time

    Job DescriptionWe are seeking a skilled Network Management Representative to join our team at HMSA. This role involves providing face-to-face support to new providers interested in joining our network, ensuring a smooth contracting and on-boarding process. The successful candidate will also be responsible for conducting new provider orientation and ongoing...

  • Customer Relations Representative

    3 days ago

    Honolulu, United States Kaiser Permanente Full time

    Job Summary: Receives and services telephone and walk-in inquiries. Maintains patient/guarantor and insurance information on systems. Acts as representative for organization. Researches and resolves account inquiries. Maintains current knowledge of Kaiser health plan benefits and policies, and government programs and commercial insurances billing...

  • CONSTRUCTION ENGINEER

    7 days ago

    Honolulu, United States Honolulu Full time

    $68,556.00 – $83,388.00/Year Job Type: Full-Time TemporaryLocation: 1099 Alakea Street, Honolulu, Hawaii 96813Department: Honolulu Authority for Rapid TransportationApply Before: ContinuousThe Honolulu Authority for Rapid Transportation (HART), a semi-autonomous agency of the City and County of Honolulu, is responsible for the design and construction of...

  • FEMA - Construction Specialist

    3 days ago

    Honolulu, United States CDM Smith Full time

    40398BR Requisition ID: 40398BR Business Unit: FSU Job Title: FEMA - Construction Specialist Group: WAF Field Mod Fringe Employment Type: Temporary Job Description: The FEMA Disaster Management Construction Specialist: Schedules and conducts site inspections with applicants, performs accurate quantification and detailed descriptions of disaster related...

  • Network Management Liaison

    6 days ago

    Honolulu, Hawaii, United States Hawaii Medical Service Association Full time

    **Job Summary**We are seeking a highly skilled Network Management Representative to join our team at Hawaii Medical Service Association. This role is responsible for building and maintaining relationships with healthcare providers, ensuring smooth network operations, and driving business growth.**Responsibilities**Provide exceptional face-to-face support to...

  • Customer Service Representative

    3 days ago

    Honolulu, United States Ryan Miyashita - State Farm Agent Full time

    Benefits: 401(k) Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development Hawaii is my home 🌴—I was born and raised here, and I love being part of the Honolulu community. I have been a State Farm agent here...

  • ICS PROGRAM MANAGER with Security Clearance

    3 days ago

    Honolulu, United States Department of the Navy Full time

    Duties * You will lead the Industrial Control System (ICS) Program Team within NAVFAC Hawaii and coordinates closely with, and receives direct support from, NAVFAC Hawaii's Command Information Office (CIO) ICS Program Manager. * You will represent the Command as the technical authority and consultant on all matters pertaining to the ICS Program. * You will...

  • Supervisor, Provider Data Management

    2 days ago

    Honolulu, United States Ohana Health Plan Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Manage the daily operations of all provider data...

  • Supervisor, Provider Data Management

    2 days ago

    HONOLULU, United States Ohana Health Plan Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Manage the daily operations of all provider data...

  • Customer Service Specialist

    6 days ago

    Honolulu, Hawaii, United States Keiko Pacheco - State Farm Agent Full time

    OverviewWe are seeking a highly motivated and customer-focused individual to join our team as an Insurance Representative Associate. In this role, you will be responsible for providing exceptional service to our clients, resolving any issues or concerns they may have, and cross selling to the customers you are servicing.ResponsibilitiesProvide timely and...

  • Case Resolution Specialist II

    1 week ago

    Honolulu, United States HMSA Full time

    Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from internal and external resources to resolve issues. Functions as a liaison with providers, members and internal decision...

  • GUAM- OPERATIONS MANAGER

    6 days ago

    Honolulu, United States Hawaiian Dredging Construction Company, Inc. Full time

    Job DescriptionJob DescriptionThe main function of the Operations Manager is to plan, organize, direct, execute, coordinate and control the operations to meet our goals.The primary responsibility is to accomplish the goals of profit, volume, R.O.I., billings in excess of cost and cash flow. It also requires involvement in productivity improvement, marketing,...

  • ICS PROGRAM MANAGER with Security Clearance

    3 days ago

    Honolulu, United States Department of the Navy Full time

    Summary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply" section of this flyer to be considered. There may or may not be actual vacancies filled from this flyer. Notice of Result letters will not...

  • Case Resolution Specialist II

    6 days ago

    Honolulu, United States Hawaii Medical Service Association Full time

    Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements. Secures information from internal and external resources to resolve issues. Functions as a liaison with providers, members and internal decision...

  • ICS PROGRAM MANAGER with Security Clearance

    3 days ago

    Honolulu, United States Department of Defense Full time

    Duties * You will lead the Industrial Control System (ICS) Program Team within NAVFAC Hawaii and coordinates closely with, and receives direct support from, NAVFAC Hawaii's Command Information Office (CIO) ICS Program Manager. * You will represent the Command as the technical authority and consultant on all matters pertaining to the ICS Program. * You will...

  • Customer Relations Representative

    3 days ago

    Honolulu, United States Ryan Miyashita - State Farm Agent Full time

    Hawaii is my home 🌴—I was born and raised here, and I love being part of the Honolulu community. I have been a State Farm agent here for over ten years, and I am honored that my neighbors believe I can help them protect what matters. My office serves people from the greater Honolulu area to the entire State of Hawaii with all their insurance and...

  • Supervisory Recreation Assistant

    3 days ago

    Honolulu, United States Department of the Navy Full time

    Duties MAJOR DUTIES AND RESPONSIBILITIES: Supervises lifeguards and instructors and other personnel that may be assigned to the aquatic program. Interviews and recommends for selection all lifeguards. Incumbent provides employees with advice, guidance and on the job training as appropriate for the performance of their duties. Evaluates employee's job...