Claims Associate - Phoenix, United States - Sedgwick

Sedgwick
Sedgwick
Verified Company
Phoenix, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
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 Associate - Workers Compensation / Medical-Only

  • PRIMARY PURPOSE: To analyze reported lower level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
  • ESSENTIAL FUNCTIONS and RESPONSIBILITIES
  • Adjusts medicalonly claims and minor losttime workers compensation claims under close supervision.
  • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
  • Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
  • Communicates claim action/processing with claimant, client and appropriate medical contact.
  • Ensures claim files are properly documented and claims coding is correct.
  • May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
  • Maintains professional client relationships.
  • ADDITIONAL FUNCTIONS and RESPONSIBILITIES
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • QUALIFICATIONS
  • Education & Licensing
High school diploma or GED required. Licenses as required.

  • AZ certification / license preferred, not required.
  • Experience
One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

  • Skills & Knowledge
  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies
- #claimsexaminer #claims

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