Claims Assistant

US Telecommuter

R78754

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.

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Claims Assistant

PRIMARY PURPOSE OF THE ROLE : To provide support to the claims staff and to perform other office tasks depending on the client program.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE:

• Inputs and reviews notes/diaries in claims management system as instructed.

• Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.

• Other activities/projects as assigned including the preparation and distribution of computer reports.

• Set up, assign, reassign, and reopen claims within the claims management system.

• Maintain claim data, including policy, coverage, date of loss (DOL), date of birth (DOB), and account information.

• Process letters, along with other claim-related correspondence.

• Upload and manage claim documentation, including legal files, policy documents, and medical records requests.

• Process settlement payments, expense invoices, returned checks, and vendor setup requests.

• Respond to general emails, phone calls, auditor requests, and other stakeholder inquiries.

• Generate reports, including loss runs and other claims-related reporting.

• Review and enter claim notes, diaries, and other information into the claims management system.

• Perform general administrative duties including mail processing, filing, scanning, faxing, and report distribution.

• Support special projects and other duties as assigned.

• Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing: Six (6) months of clerical or customer service experience or equivalent combination of education and experience required

• High school diploma or GED required.

Skills & Knowledge:

• Excellent oral and written communication

• PC literate, including Microsoft Office products

• Strong organizational skills

• Ability to work in a team environment

• Ability to meet or exceed Performance Competencies

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 $15.00 per hour. 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.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

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