Specialty Operations Coordinator

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

Specialty Operations Coordinator

Entry-level, Specialty Operations Coordinator

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 and/or virtual setting

• A training program to learn how to help employees and customers from some of the world's most reputable brands

• An assigned mentor and manager who will guide you on your career journey

• 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

PRIMARY PURPOSE OF THE ROLE: To analyze low- and mid-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Adjusts medical-only claims and low- to mid-level lost-time workers compensation claims under close supervision.

• Supports other claims staff with larger or more complex claims as necessary.

• Processes workers compensation claims reviewing compensability, benefits due, and files necessary documentation with state agency.

• Communicates claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact.

• Ensures claims files are properly documented and claims coding is correct.

• Maintains professional client relationships.

• Coordinates actuarial/settlement issues impacting employers with rate and settlement departments.

QUALIFICATIONS

• Education & Licensing: High school diploma or GED required

• Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required

• Experience: Clerical or customer service experience or equivalent combination of education and experience preferred

TAKING CARE OF YOU

• Entry-level colleagues are offered a world class training program with a comprehensive curriculum

• An assigned mentor and manager that will support and guide you on your career journey

• Career development and promotional growth opportunities

• A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more

Work environment requirements for entry-level opportunities include -

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

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. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $16.00 - 21.00/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but 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.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com