Claims Associate - Med Only | Multi State Jurisdiction | Licensing: ID Required (Onsite - Meridian, ID)
Sedgwick · Meridian, ID · 2 mo ago
Full-time
About the role
Join a global industry leader where you can bring your ideas to help solve complex customer claims. Adjudicate medical-only claims in an energetic culture, delivering innovative customer-facing solutions to clients across diverse industries. Be part of a rapidly growing company known for excellence and customer service.
Responsibilities
- Adjust medical-only claims and minor lost-time workers compensation claims under close supervision.
- Support other claims representatives, examiners, and leads with larger or more complex claims as needed.
- Process workers compensation claims, determining compensability and benefits due; monitor reserve accuracy and file necessary documentation with state agencies.
- Communicate claim actions with claimants, clients, and medical contacts.
- Ensure claim files are properly documented and claims coding is accurate.
- Process routine payments, prescriptions, and status reports for lifetime or defined-period medical claims.
- Maintain professional client relationships.
Requirements
- High school diploma or GED required.
- One (1) year of general office experience or equivalent combination of education and experience; claims industry experience preferred.
- Active Idaho claims adjuster license required.
Work Environment
- Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem-solving, and analytical skills; ability to handle work-related stress, multiple priorities, and meet deadlines.
- Physical: Computer keyboarding; occasional travel as required.
- Auditory/Visual: Hearing, vision, and verbal communication.
Reasonable accommodations will be considered when applicable and appropriate.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Comprehensive benefits package including medical, dental, vision, and 401K (available on day one).
Location
3715 Overland Road, Suite 230, Meridian, ID 83642 (Onsite role).