What we offer
A
stable, consistent work environment —both in-office and virtual A
comprehensive training program
to support employees and customers from some of the world's most respected brands A
dedicated mentor and manager
to guide you every step of your career journey Career development and promotional opportunities
as you take on new responsibilities A
diverse, all-inclusive benefits package
designed to support your mental, physical, financial, and professional well-being Primary Purpose
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. Essential Functions and Responsibilities
Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system. Refers cases as appropriate to team lead; maintains professional client relationships. Additional Functions and Responsibilities
Performs other duties as assigned. Supports the organization's quality program(s). Qualifications
Education & Licensing
High school diploma or GED required. College preferred. Experience
Two (2) years of related experience or equivalent combination of education and experience required to include one (1) year general office or customer service experience. One (1) year of benefits or claims management experience preferred. Skills & Knowledge
Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Ability to meet or exceed Performance Competencies Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
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A
stable, consistent work environment —both in-office and virtual A
comprehensive training program
to support employees and customers from some of the world's most respected brands A
dedicated mentor and manager
to guide you every step of your career journey Career development and promotional opportunities
as you take on new responsibilities A
diverse, all-inclusive benefits package
designed to support your mental, physical, financial, and professional well-being Primary Purpose
To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. Essential Functions and Responsibilities
Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system. Refers cases as appropriate to team lead; maintains professional client relationships. Additional Functions and Responsibilities
Performs other duties as assigned. Supports the organization's quality program(s). Qualifications
Education & Licensing
High school diploma or GED required. College preferred. Experience
Two (2) years of related experience or equivalent combination of education and experience required to include one (1) year general office or customer service experience. One (1) year of benefits or claims management experience preferred. Skills & Knowledge
Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Ability to meet or exceed Performance Competencies Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
#J-18808-Ljbffr