Description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Technician - 100% in Office

Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?

• A stable and consistent work environment in an office setting
• A training program to learn how to help employees and customers from some of the world's most reputable brands
• An assigned mentor and manager who will guide you on your career journey
• Career development and promotional growth opportunities through increasing responsibilities
• A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs
  

PRIMARY PURPOSE OF THE ROLE: To provide technical claims support to the claims staff and customer service to claimants, clients and vendors.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Calculates average weekly wage and compensation rate; submits to examiner for approval.
• Calculates and schedules weekly Total Temporary Disability/Total Permanent Disability (TTD/TPD) indemnity payments; submits to examiner for approval.
• Calculates and verifies court ordered payments and issues timely; submits to examiner for approval.
• Calculates cost of living adjustments (COLA) per state requirements; submits to examiner for approval.
• Handles utilization review, vendor, claimant and client calls for the claims examiners.
• Submits approved bills to the bill review vendor for payment.
• Calculates and processes out-of-pocket expenses and manual bills for vendors and claimants.
• Performs administrative duties, such as filing, copying, etc., as required.

QUALIFICATIONS

Education & Licensing: High school diploma or GED required.

Experience: One (1) year of clerical or customer service experience or equivalent combination of experience and education required.

TAKING CARE OF YOU

Flexible work schedule.

Referral incentive program.

Opportunity to work in an agile environment.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT

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

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, 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

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.
Requisition #: R73306

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