Claims Associate - Workers Compensation
Company: Sedgwick
Location: Seattle
Posted on: June 25, 2022
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Job Description:
**The 'Apply with SEEK' option will be utilized for
International applicants, mainly Australia. If this does not apply
to you please use the 'Apply' option.**Claims Associate - Workers
CompensationIF YOU CARE, THERE'S A PLACE FOR YOU HEREFor a career
path that is both challenging and rewarding, join Sedgwick's
talented team of 27,000 colleagues around the globe. Sedgwick is a
leading provider of technology-enabled risk, benefits and
integrated business solutions. Taking care of people is at the
heart of everything we do. Millions of people and organizations
count on Sedgwick each year to take care of their needs when they
face a major life event or something unexpected happens. Whether
they have a workplace injury, suffer property or financial loss or
damage from a natural or manmade disaster, are involved in an auto
or other type of accident, or need time away from work for the
birth of a child or another medical situation, we are here to
provide compassionate care and expert guidance. Our clients depend
on our talented colleagues to take care of their most valuable
assets-their employees, their customers and their property. At
Sedgwick, caring counts -. Join our team of creative and caring
people of all backgrounds, and help us make a difference in the
lives of others.For more than 50 years, Sedgwick has been helping
employers answer virtually every question there is about workers'
compensation. We have experience in nearly every type of industry
and region and provide the industry's broadest range of programs
and services.**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 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.**ADDITIONAL FUNCTIONS and
RESPONSIBILITIES**+ Performs other duties as assigned.+ Supports
the organization's quality program(s).**QUALIFICATION****Education
& Licensing**High school diploma or GED required. Licenses as
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**WORK ENVIRONMENT**When applicable and appropriate,
consideration will be given to reasonable
accommodations.**Mental:** Clear and conceptual thinking ability;
excellent judgment, troubleshooting, problem solving, analysis, 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.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.
Keywords: Sedgwick, Seattle , Claims Associate - Workers Compensation, Other , Seattle, Washington
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