Jobs · Idaho

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).

Similar jobs