Claims Representative (IAP): Workers Compensation Training Program | Long Beach, CA

Overview Claims Representative (IAP) - Workers Compensation Training Program | Long Beach, CA Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? Responsibilities Attendance and completion of designated claims professional training program. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer/employee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and/or in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. Ideal Candidate Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators Qualifications Education Requirement - High School Diploma or GED. Experience: No experience required. Compensation and Benefits 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. 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 medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings accounts, and other additional voluntary benefits. Equal Opportunity Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr