Workers Compensation Claims Representative | Medical Only | Syracuse, NY

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.

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Workers Compensation Claims Representative | Medical Only | Syracuse, NY

Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? 

• A stable and consistent work environment in an office setting 
• Career development and promotional growth opportunities through increasing responsibilities 
• A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs 

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

Syracuse, NY

37.5 hour work week

ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Workers Compensation Representative position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. 

ESSENTIAL RESPONSIBILITIES MAY INCLUDE 

• 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; previous Workers Compensation Medical Only claims 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.

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 (25.65/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.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.