Claims Trainee - Workers' Compensation (Syracuse Onsite)

Claims Representative (IAP) – Workers Compensation Training Program Location: Syracuse, NY – Onsite Primary Purpose of the Role To be oriented and trained as a new industry professional. This role begins with a comprehensive 4‑week concept‑based learning and professional training program, followed by a dedicated onboarding experience before entering the on‑the‑job phase. The trainee will be assigned a mentor and manager who will support and guide career development, providing the foundational skills needed for a successful career 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 incoming mail, emails, and other claim related documents according to claim status. Communicating effectively with injured workers, insureds/employers, medical providers, attorneys, and carrier representatives through telephone, video conference, and email. Investigating new and existing claims by gathering medical records, employer reports, witness statements, and evaluating coverage, subrogation issues, and fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claim files and properly coding claim activity; preparing detailed reports of findings and recommendations. Administering claim benefits, including indemnity and medical benefits, through maintenance of calendared claim‑related action items in state compliance. Participating in virtual or in‑person meetings, claim reviews and business functions as needed for education, claim discussions and related meetings. Qualifications High School Diploma or GED required. Bachelor's degree preferred plus 2 years of customer service experience, or a combination of education and experience. Work Environment Requirements Include Mental: Clear and conceptual thinking, excellent judgment, problem solving, analysis, and discretion; ability to handle stress and multiple priorities. Physical: Computer keyboarding. Auditory/Visual: Hearing, vision and speaking. Benefits and Compensation Starting pay: $25.65/hr (subject to location and other factors). Comprehensive benefits package including medical, dental, vision, 401(k) with matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Equal Opportunity Employer Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr Sedgwick