Workers' Comp Claims Specialist (Hybrid - Growth Track)

Primary Purpose of the Role To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. Office Location / Schedule Syracuse, NY. Open to hybrid after initial 30 days training (performance-based). Ideal Candidate We are looking for an enthusiastic candidate who thrives in a collaborative team environment, shows motivation and drive in their work ethic, is customer-oriented, naturally empathic and solution-focused. 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. 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 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. Compensation 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 ($20 - $24/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. Equal Opportunity Employer Statement Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr