Claims Representative (IAP) - Workers Compensation Training Program

Claims Representative (IAP) – Workers Compensation Training Program 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. You will be assigned a mentor and manager who will support and guide you on your career journey and equip you with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Eligibility & Qualifications High School Diploma or GED required No experience required Strong communicators; empathetic; multi‑taskers; accountable; structured thinkers; ambitious; agile learners; team collaborators Essential Responsibilities Attend and complete the designated claims professional training program Adjust workers’ compensation claims under close supervision, including processing and responding to incoming mail, emails, and other claim‑related documents according to claim status Communicate effectively with injured workers, insureds/employers, medical providers, attorneys, and carrier representatives via telephone, video conference, and email Investigate new and existing claims by gathering relevant information such as medical records, employer reports, and witness statements; identify potential subrogation issues or fraud indicators Determine coverage, compensability, and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements Document claims files and code claim activity; prepare detailed reports documenting findings and recommendations Administer claim benefits (indemnity and medical benefits) by maintaining a calendar of claim‑related action items and ensuring state compliance Participate in virtual and/or in‑person meetings, claim reviews, and business functions as needed for educational training, claim discussions, and various meetings Compensation & Benefits 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. For the jurisdiction noted, the starting pay range for this role is $25.65 per hour. A comprehensive benefits package is offered, including medical, dental, vision, 401(k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. #J-18808-Ljbffr Sedgwick