Claims representative Jobs in Rancho Cucamonga, CA

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Industry Advancement Program | Claims Representative Trainee | In-office, Rancho Cucamonga

PRIMARY PURPOSE : To be oriented and trained as new industry professional with the ability to analyze workers compensation, general liability or disability claims and determine benefits due.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Attendance and completion of designated classroom claims professional training program.

Performs on-the-job training activities including :

Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims.

Adjusting low and mid-level liability and / or physical damage claims under close supervision.

Processing disability claims of minimal disability duration under close supervision.

Documenting claims files and properly coding claim activity.

Communicating claim action / processing with claimant and client.

Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned.

Participates in rotational assignments to provide temporary support for office needs.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred or equivalent experience as outlined below.

Experience

No experience required with college degree. State license, self-insured certificate, WCCA / WCCP designation, or completion of the Sedgwick Claims Progression Program required without a degree. Prior claims experience preferred.

Skills and Knowledge

Excellent oral and written communication, including presentation skills

PC literate, including Microsoft Office products

Analytical skills

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical : Computer keyboarding, travel as required

Auditory / Visual : Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $27.69 / hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

LI-DV1

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com