Medical Only Adjuster Claims Associate – Dedicated Client – Hybrid Schedule
| Company | Sedgwick Claims Management Services |
|---|---|
| Location | Baltimore, MD, USA |
| Salary | $18.5 – $25.91 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Entry Level/New Grad, Junior |
Requirements
- One (1) year of general office 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
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.
- Performs other duties as assigned.
- Supports the organization’s quality program(s).
Preferred Qualifications
- Claims industry experience preferred.