Workers Compensation Claims Associate - Orange, CA

Requirements

• Education & Licensing: 1 year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• TAKING CARE OF YOU
• 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.
• WORK ENVIRONMENT
• When applicable and appropriate, consideration will be given to reasonable accommodations.
• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, 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
• Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
• If you're excited about this role

Benefits

Additional Information

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 Workers Compensation Claims Associate | Orange, CA Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office Career development and promotional growth opportunities through increasing responsibilities A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. OFFICE LOCATIONS Orange, California (On-site) PRIMARY PURPOSE OF THE ROLE: Analyze reported lower-level workers compensation claims to determine benefits eligibility and ensure ongoing adjudication aligns with company standards and industry best practices. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Handles medical-only and minor lost-time workers compensation claims under supervision. Assists senior claims staff with complex cases as needed. Determines compensability and benefits; ensures reserve accuracy and files required documentation. Communicates claim status with claimants, clients, and medical contacts. Maintains accurate documentation and correct claims coding. Processes routine payments, prescriptions, and status reports for ongoing medical claims. Builds and maintains professional client relationships.

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