Jobs
>
Rancho Cordova

    Claims Rep - Rancho Cordova, United States - Sedgwick

    Default job background
    Description

    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 Rep - IAP (On-Site Rancho Cordova, CA)

    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.

    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 inthis job posting only, the range of starting pay for this role is $26-27 hourly. 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.

    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.

    Taking care of people is at the heart of everything we do. Caring counts

    Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. )



  • Stanford Health Care Sacramento, United States

    1.0 FTE Full time Day - 08 Hour R Remote 85306 REV CYCLE PBO Finance & Revenue Cycle th St Room B-27,Sacramento,California · If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is ...

  • Dignity Health

    Billing Rep I

    2 weeks ago


    Dignity Health Rancho Cordova, United States

    Under the supervision of the A/ R Supervisor, the A/ R Billing Rep I is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims, consistent with the Mission and Philosophy of Dignity Health Medical Foundati Billing, Healthcare, Accounti ...

  • Common Spirit

    Billing Rep II

    1 day ago


    Common Spirit Rancho Cordova, United States

    Overview · Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - w ...

  • CommonSpirit Health

    Billing Rep I

    2 weeks ago


    CommonSpirit Health RANCHO CORDOVA, United States

    Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospi ...

  • Common Spirit

    Billing Rep I

    2 weeks ago


    Common Spirit Rancho Cordova, United States

    Overview · Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - ...

  • CommonSpirit Health

    Billing Rep III

    1 week ago


    CommonSpirit Health RANCHO CORDOVA, United States

    Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospita ...

  • Common Spirit

    Billing Rep III

    1 day ago


    Common Spirit Rancho Cordova, United States

    Overview · Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - w ...


  • LMG Healthcare Rancho Cordova, United States

    Job Description · Job Description · Job Summary:Under the supervision of the A/R Supervisor, the A/R Billing Rep II is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims, consistent with the Mission and Philosophy of client.Single ...


  • Ultimate Staffing Sacramento, United States

    We are currently seeking a driven motivated individual that loves being in the healthcare industry and helping people · We are looking for call center reps/member service reps for an amazing healthcare company here in Sacramento Some of the duties that they perform include: · Res ...


  • SearchPros Sacramento, United States

    Member Care Escalations Rep · Call center and/or member service experience, excellent communicator · Can use multiple systems simultaneously · Collections Experience · Claims Processing Experience · Auto finance experience if available · Thrive working in a fast-paced en ...


  • LHH Recruitment Solutions Sacramento, United States

    Job Description · Job DescriptionMember Services Specialist · LHH Recruitment Solutions is searching for a full-time Member Services Representative on a contract to hire basis for a client in Sacramento, Ca. Our client is seeking a Member Services Rep to be the initial point of c ...


  • State of California Sacramento County, United States

    Job Posting: STATE PARK SUPERINTENDENT II · Department of Parks & Recreation · JC STATE PARK SUPERINTENDENT II · STATE PARK SUPERINTENDENT II $7, $10,616.00 per Month · Final Filing Date: 5/13/2024 · Application Methods: Electronic (Using your CalCareer Account) By Mail Dr ...


  • State of California Sacramento County, United States

    Job Posting: STATE PARK SUPERINTENDENT II · Department of Parks & Recreation · JC STATE PARK SUPERINTENDENT II · STATE PARK SUPERINTENDENT II $7, $10,616.00 per Month · Final Filing Date: 5/27/2024 · Application Methods: Electronic (Using your CalCareer Account) By Mail Dr ...