Note: The job is a remote job and is open to candidates in USA. Sedgwick is a company that provides meaningful support to people facing unexpected challenges. They are seeking enthusiastic individuals for an entry-level trainee position in their Workers Compensation Training Program to develop foundational skills in claims adjusting.
Responsibilities
- Attendance and completion of designated claims professional training program
- Adjusting various levels of workers’ compensation claims under close supervision, which includes:
- Processing and responding to incoming mail, emails and other claim related documents according to status of the claim
- Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email
- Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements
- Investigating employer/employee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators
- Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements
- Documenting claims files and properly coding claim activity
- Preparing detailed reports documenting findings and recommendations
- Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance
- Participating in virtual and/or in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings
Skills
- High School Diploma or GED
- Strong Communicators
- Empathetic
- Multi-Taskers
- Accountable
- Structured Thinkers
- Ambitious
- Agile Learners
- Team Collaborators
Benefits
- Medical
- Dental
- Vision
- 401k and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
Company Overview
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. It was founded in 1969, and is headquartered in Memphis, Tennessee, USA, with a workforce of 10001+ employees. Its website is http://www.sedgwick.com.