Claims Representative (IAP): Workers Compensation Training Program | ON-SITE Ontario, CA

Primary Purpose of the Role To be oriented and trained as a new industry professional. This role begins with a comprehensive 4‑week concept‑based learning and professional training program, followed by a dedicated onboarding experience before entering the on‑the‑job phase. Ideal Candidate Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators Essential Responsibilities Attendance and completion of the designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision. Processing and responding to incoming mail, emails, and other claim‑related documents according to claim status. Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives via telephone, 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 potential subrogation 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 (indemnity and medical benefits) through maintenance of calendared claim‑related action items and ensuring state compliance. Participating in virtual and/or in‑person meetings, claim reviews, and business functions as needed for educational training, claim discussions and meetings. Qualifications High School Diploma or GED required. Bachelor’s degree preferred. Two (2) years of customer service experience or an equivalent combination of education and experience. Work Environment Requirements When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: clear and conceptual thinking, excellent judgment, troubleshooting, problem solving, analysis, discretion, ability to handle work‑related stress, multiple priorities, and deadlines. Physical: computer keyboarding. Compensation & Benefits Starting pay $27.69 hourly (for jurisdiction noted in this posting). Medical, dental, vision, 401(k) with match, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Equity & Inclusion Statement Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all applicable Fair Chance Ordinances and laws. #J-18808-Ljbffr