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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.
Specialty Operations Coordinator
Location
Ohio
Posted
122 days ago
Salary
$16 - $20 / hour
Seniority
Junior
Job Description
Specialty Operations Coordinator
Sedgwick
• Analyze low- and mid-level workers compensation claims to determine benefits due. • Ensure ongoing adjudication of claims within company standards and industry best practices. • Adjust medical-only claims and low- to mid-level lost-time workers compensation claims under close supervision. • Support other claims staff with larger or more complex claims as necessary. • Process workers compensation claims reviewing compensability, benefits due, and files necessary documentation with state agency. • Communicate claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact. • Ensure claims files are properly documented and claims coding is correct. • Maintain professional client relationships. • Coordinate actuarial/settlement issues impacting employers with rate and settlement departments.
Job 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.
- Excellent oral and written communication skills.
- PC literate, including Microsoft Office products.
- Analytical and interpretive skills.
- Strong organizational skills.
- Good interpersonal skills.
- Ability to work in a team environment.
- Ability to meet or exceed Performance Competencies.
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.
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