[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