Claims Associate Workers Compensation

Claims Associate Workers Compensation

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

To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due.

Richmond, VA Hybrid Schedule (3 days work from home) 40 hour work week

We are looking for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.

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.

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

Flexible work schedule.

Referral incentive program.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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.