Sedgwick

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. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance

Specialty Operations Coordinator

OperationsOperationsFull TimeRemoteTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Ohio

Posted

33 days ago

Salary

$16 - $20 / hour

High School1 yr expEnglish

Job Description

• Analyze low- and mid-level workers compensation claims to determine benefits due. • Ensure ongoing adjudication of claims within company standards and industry best practices. • Adjust medical-only claims and low- to mid-level lost-time workers compensation claims under close supervision. • Support other claims staff with larger or more complex claims as necessary. • Process workers compensation claims reviewing compensability, benefits due, and files necessary documentation with state agency. • Communicate claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact. • Ensure claims files are properly documented and claims coding is correct. • Maintain professional client relationships. • Coordinate actuarial/settlement issues impacting employers with rate and settlement departments.

Job Requirements

  • High School diploma or GED required.
  • Licenses as required.
  • One (1) year of claims management experience or equivalent combination of education and experience required.
  • 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.

Benefits

  • Three Medical, and two dental plans to choose from.
  • Tuition reimbursement eligible.
  • 401K plan that matches 50% on every $ you put in up to the first 6% you save.
  • 4 weeks PTO your first full year.

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