[Remote] Claims Representative (IAP) - Workers Compensation Training Program

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