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Claims Representative (IAP) - Workers Compensation Training Program | Hunt Valley, MD

$25.65 per hour

Sedgwick Claims Management Services

Claims Representative (IAP) – Workers Compensation Training Program Location: Hunt Valley, MD – Hybrid. This entry‑level role is part of a 4‑week concept‑based learning program designed to develop a professional career in claims adjusting. PRIMARY PURPOSE OF THE ROLE To be oriented and trained as a new industry professional. The program begins with comprehensive training, followed by onboarding, mentorship, and on‑the‑job experience to build foundational skills in claims adjusting. ESSENTIAL RESPONSIBILITIES INCLUDE Attendance and completion of the designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, processing and responding to mail, emails, and other claim related documents. Communicating effectively with injured workers, insureds/employers, medical providers, attorneys, and carrier representatives primarily via telephone, video conference, and email. Investigating new and existing claims by gathering relevant information: medical records, employer reports, and witness statements. Investigating employer/employee relationships, policy verification, coverage, and potential subrogation issues or fraud indicators. Determining coverage, compensability, and appropriate benefits per jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity, preparing detailed reports with findings and recommendations. Administering claim benefits (indemnity and medical benefits), maintaining calendared claim‑related action items, ensuring state compliance. Participating in virtual and in‑person meetings, claim reviews, and business functions for training and discussion. IDEAL CANDIDATE Strong communicator Empathetic Multi‑tasker Accountable Structured thinker Ambitious Agile learner Team collaborator QUALIFICATIONS High School Diploma or GED required; bachelor's degree preferred. 2 years of customer service experience or equivalent combination of education and experience. WORK ENVIRONMENT REQUIREMENTS Mental: Clear conceptual thinking, excellent judgment, problem solving, ability to manage stress and multiple priorities. Physical: Computer keyboarding. Auditory/Visual: Hearing, vision, speaking. BENEFITS Competitive hourly rate (starting at $25.65/hr). Medical, dental, vision, 401(k) with matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and additional voluntary benefits. EEO & Diversity Statement Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. #J-18808-Ljbffr

Vacancy posted 1 day ago
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