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Claims Support Specialist

2 months ago

Orange, California, United States Sedgwick Full time

At Sedgwick, we prioritize the well-being of our team members. Our culture is built on a foundation of care, flexibility, and support for your professional and personal needs. We believe in fostering an environment where you can thrive, both in your career and in your life.

Joining Sedgwick means engaging in meaningful work that positively impacts the lives of individuals and organizations. If you are passionate about making a difference and enjoy tackling challenges, we invite you to explore a rewarding career with us.

Position: Workers Compensation Claims Assistant

PRIMARY PURPOSE: To assist the claims team and perform various administrative tasks as per client requirements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES:

  • Establishes and inputs new claims into the claims management system.
  • Documents and reviews notes/diaries in the claims management system as directed.
  • Handles payment processing.
  • Manages incoming mail; responsible for filing, faxing, and photocopying.
  • Prepares, reviews, and sends letters, reports, and forms.
  • Handles phone communications, schedules medical appointments, and provides customer service as needed.
  • Engages in additional projects as assigned, including generating and distributing computer reports.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES:
  • Performs other duties as required.
  • Contributes to the organization's quality initiatives.
QUALIFICATIONS:
Education & Licensing: High school diploma or GED is required.

Experience: A minimum of six months in clerical or customer service roles, or a combination of education and experience is necessary.

Skills & Knowledge:
  • Strong verbal and written communication skills.
  • Proficient in PC applications, including Microsoft Office.
  • Excellent organizational abilities.
  • Team-oriented with a collaborative mindset.
  • Ability to meet or exceed performance expectations.
WORK ENVIRONMENT:

We consider reasonable accommodations when applicable.

Mental: Clear and conceptual thinking; sound judgment and discretion; ability to manage work-related stress; capability to prioritize multiple tasks; and meet deadlines.

Physical: Proficient in computer keyboarding; travel may be required.

Auditory/Visual: Hearing, vision, and verbal communication.

NOTE: A background credit check is required for this position.

The information in this document is intended to outline the general nature and level of work performed by an employee in this role. It is not a comprehensive list of all functions, duties, or local variations. Management reserves the right to modify the responsibilities of the position at any time.

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

If you are enthusiastic about this opportunity but feel your experience does not align perfectly with every requirement, we encourage you to apply. Sedgwick values diversity and recognizes that each individual brings a unique set of skills and experiences to our team.