Claims Representative

Posted on Nov 27 San Diego, CA


Claims Representative - IAP (Entry Level)

Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, "Claim Your Future."

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:
    a. Adjusting medical only and minor lost-time workers compensation claims under close supervision.
    b. Adjusting low and mid-level liability and/or physical damage claims under close supervision.
    c. Processing disability claims of minimal disability duration under close supervision.
    d. Documenting claims files and properly coding claim activity.
    e. Communicating claim action/processing with claimant and client.
    f. 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 required.

Experience No experience required. 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

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

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.