Claims Representative - Workers Comp | Las Vegas, NV - 100% in Office

Overview Claims Representative - Workers Comp | Las Vegas, NV - 100% in Office Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Responsibilities Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. Administrates subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. Additional Functions and Responsibilities Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. Qualifications Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required. Jurisdiction Knowledge: Nevada Licensing: Nevada Staff Adjuster License preferred; will be required to obtain post hire Sedgwick funded* 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. EEO Statement Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Note: If your experience doesn’t align perfectly with every qualification in the job description, consider applying for it anyway. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. #J-18808-Ljbffr Sedgwick