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Sedgwick

Sedgwick, headquartered in Memphis, Tennessee, provides a global clientele with technology-enabled risk and benefits solutions. Distinguished as an Employer of

Workers Compensation Claims Representative – Medical Only VA Jurisdiction

Location

Virginia

Posted

82 days ago

Salary

0

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Workers Compensation Claims Representative – Medical Only VA Jurisdiction

Sedgwick

• Analyze Virginia Medical Only claims on behalf of our valued clients to determine benefits due. • Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. • Process low level workers compensation claims determining compensability and benefits due on long term indemnity claims. • Develop and coordinate low level workers compensation claims' action plans to resolution, return-to-work efforts, and approve claim payments. • Approve and process assigned claims, determine benefits due, and administer action plan pursuant to the claim or client contract. • Administer subrogation of claims and negotiate settlements. • Communicate claim action with claimant and client. • Ensure claim files are properly documented and claims coding is correct. • Maintain professional client relationships.

Job Requirements

  • 2 years of claims management experience or equivalent combination of education and experience required.
  • High School Diploma or GED required.
  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Jurisdiction Knowledge: VA

Benefits

  • 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.

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