Workers Compensation Claims Associate | Medical Only Experience Required | Marlton, NJ - Hybrid[...]

Workers Compensation Claims Associate | Medical Only Experience Required | Marlton, NJ - Hybrid Schedule Primary Purpose of the Role: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. Office Location & Schedule: Marlton, NJ - Hybrid Schedule Essential Responsibilities Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners, and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action/processing with claimant, client, and appropriate medical contact. Ensures claim files are properly documented and claims coding is correct. May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims. Maintains professional client relationships. Performs other duties as assigned. Supports the organization’s quality program(s). Qualifications & Licensing High school diploma or GED required. Licenses as required. Experience: One (1) year of Medical Only experience or equivalent combination of education and experience required. Claims industry experience preferred. Benefits Comprehensive benefits offering includes medical, dental, vision, 401K, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Compensation Starting pay range: ($20 - $25/hr). EEO Statement Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr Sedgwick Claims Management Services Ltd