Workers Compensation Claims Associate | In Office | Roseville, CA

About the role

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

This role is based in Roseville, CA and involves analyzing reported lower-level general liability claims to determine benefits due, ensuring ongoing adjudication of claims within company standards and industry best practices.

Responsibilities

• Handles lower-level liability and/or physical damage claims under close supervision.
• Supports other claims representatives, examiners, and leads with larger or more complex claims as necessary.
• Processes general liability 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, performs other duties as assigned, and supports the organization's quality program(s).

Requirements

• High School Diploma or GED required.
• One (1) year of general office experience or equivalent combination of education and experience required.
• Claims industry experience preferred.

Work Environment

• 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.
• Auditory/Visual: Hearing, vision, and talking.
• When applicable and appropriate, consideration will be given to reasonable accommodations.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, and 401K (with matching) starting on day one.
• Paid time off (PTO), disability and life insurance, employee assistance programs, flexible spending or health savings accounts, and other additional voluntary benefits.

Pay

For the jurisdiction noted in this job posting, the range of starting pay for this role is $22.00–$24.00 per hour.