Specialty Operations Coordinator

Sedgwick

22d • $17 - $23

About The Position

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. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Specialty Operations Coordinator PRIMARY PURPOSE: To analyze low- and mid-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

Requirements

• High School diploma or GED required.
• Licenses as required.
• One (1) year of claims management experience or equivalent combination of education and experience required.
• Ability to meet or exceed Performance Competencies
• Ability to work in a team environment
• Good interpersonal skills
• Strong organizational skills
• Analytical and interpretive skills
• PC literate, including Microsoft Office products
• Excellent oral and written communication skills

Responsibilities

• Adjusts medical-only claims and low- to mid-level lost-time workers compensation claims under close supervision.
• Supports other claims staff with larger or more complex claims as necessary.
• Processes workers compensation claims reviewing compensability, benefits due, and files necessary documentation with state agency.
• Communicates claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact.
• Ensures claims files are properly documented and claims coding is correct.
• Maintains professional client relationships.
• Coordinates actuarial/settlement issues impacting employers with rate and settlement departments.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Benefits

• Three Medical, and two dental plans to choose from.
• Tuition reimbursement eligible.
• 401K plan that matches 50% on every $ you put in up to the first 6% you save.
• 4 weeks PTO your first full year.
• medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees