Job Description
Note: The job is a remote job and is open to candidates in USA. Sedgwick is a company dedicated to supporting people facing unexpected challenges, and they are seeking a Workers Compensation Claims Associate. This role involves analyzing lower-level workers compensation claims to determine benefits due and ensuring claims are adjudicated according to company standards and best practices. Responsibilities Adjusts medical-only claims and minor lost-time 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 Skills High school diploma or GED required Strong oral and written communication skills required Computer literate – including Microsoft Office required Organizational skills required One (1) year of general office experience or equivalent combination of education and experience required Prior Claims experience preferred Clerical or customer service experience or equivalent combination of education and experience preferred Claims industry experience preferred Benefits Medical Dental Vision 401K on day one PTO Disability and life insurance Employee assistance Flexible spending or health savings account Other additional voluntary benefits Company Overview Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. It was founded in 1969, and is headquartered in Memphis, Tennessee, USA, with a workforce of 10001+ employees. Its website is