Workers Compensation Claims Associate | Rancho Cordova (Onsite)

About the role

To be oriented and trained as a new industry professional with the ability to analyze workers compensation claims and determine benefits due. You’ll join a team of 33,000 colleagues who support people around the world facing the unexpected, grow your career, experience a caring culture, and enjoy work-life balance.

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.

Qualifications

Education & Licensing: High school diploma or GED required.

Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required.

Experience: Clerical or customer service experience or equivalent combination of education and 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 and agile work environment.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Comprehensive benefits package including medical, dental, vision, 401K with matching, PTO, disability and life insurance, employee assistance program, flexible spending or health savings account, and other additional voluntary benefits.

Pay

For the jurisdiction noted in this job posting, the range of starting pay for this role is $21–$23/hour.