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Every career with Hearst Television is like a story. How it develops, where it takes you, the milestones you reach along the way – you’ve got a lot to look forward to as your unique career story unfolds. Hearst Television, a subsidiary of Hearst, owns and operates local television and radio stations serving nearly three dozen U.S. cities, reaching 24 million U.S. television households. Through its partnership with nearly all major networks, Hearst Television distributes national content across more than 120 video channels, including programming from ABC, NBC, CBS, CW, MY Net, MeTV, This TV, Estrella, and more. Hearst Television is recognized as one of the industry's premier companies. It has been honored with numerous awards for distinguished journalism and industry innovation, including the Walter Cronkite Award for political journalism, the national Edward R. Murrow Award, the DuPont-Columbia Award, and the George Foster Peabody Award.

","New York, NY","coloredLogo","logoAttachment","Hearst.png","thumbnail","thumbnailAttachment","Hearst_TV_Careers.png","hexCode","#2D75B9","headline","National multimedia company reaching 24 million households","https://production-rails-default.s3.amazonaws.com/uploads/company/logo_attachment/1072/Hearst.png","/companies/hearst-television","https://production-rails-default.s3.amazonaws.com/uploads/company/thumbnail_attachment/1072/Hearst_TV_Careers.png","hasJobSubmission","isSavedJob","similarJobs",[512,523,529,535,541],{"_429":428,"_434":513,"_452":453,"_444":445,"_243":514,"_441":515,"_427":428,"_111":516,"_431":194,"_433":194,"_454":453,"_442":517,"_425":518,"_455":456,"_430":127,"_476":519,"_460":520,"_478":516,"_479":517,"_481":482,"_483":521,"_485":522},["D",1770984000000],"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.

Overview\nNewsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Primary Purpose\nPRIMARY PURPOSE

: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.

Responsibilities

Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.

Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.

Administers subrogation of claims and negotiates settlements.

Communicates claim action with claimant and client.

Ensures claim files are properly documented and claims coding is correct.

May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

Maintains professional client relationships.

Additional Functions and Responsibilities

Performs other duties as assigned.

Supports the organization's quality program(s).

Travels as required.

Qualifications\nEducation & Licensing

Bachelor's degree from an accredited college or university preferred.

Experience

Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.

Jurisdictional Requirements:

CT, DC, DE, LA, MA, NH,

NJ, PA

, RI,

TX

,

VA, VT, WV

Skills & Knowledge

Developing knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business

Excellent oral and written communication, including presentation 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 Service Expectations

Work Environment\nWhen applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

Compensation

Note: 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 $50,000 - $60,000/yr. 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.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Always accepting applications.

#claimsrepresentative #claims #remote #LI-REMOTE

#workcomp

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.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see

sedgwick.com

#J-18808-Ljbffr\n","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...","Claims Representative - Workers' Compensation | Remote","Boston, Massachusetts, us, 02298",["B","2552903266"],"5 days ago","/jobs/2552903266-claims-representative-workers-compensation-remote","/jobs?location=Boston%2C+Massachusetts%2C+us%2C+02298","/jobs?keyword=Claims+Representative+-+Workers%27+Compensation+%7C+Remote",{"_429":428,"_434":524,"_452":453,"_444":445,"_243":438,"_441":438,"_427":428,"_111":437,"_431":432,"_433":194,"_454":453,"_442":525,"_425":526,"_455":456,"_430":127,"_476":477,"_460":527,"_478":437,"_479":525,"_481":482,"_483":528,"_485":486},["D",1771372800000],"Phoenix, AZ, US, 85003",["B","2623852197"],"/jobs/2623852197-claims-representative-workers-compensation","/jobs?location=Phoenix%2C+AZ%2C+US%2C+85003",{"_429":428,"_434":530,"_452":453,"_444":445,"_243":438,"_441":438,"_427":428,"_111":437,"_431":432,"_433":194,"_454":453,"_442":531,"_425":532,"_455":456,"_430":127,"_476":477,"_460":533,"_478":437,"_479":531,"_481":482,"_483":534,"_485":486},["D",1771372800000],"Columbus, OH, US, 43224",["B","2623852539"],"/jobs/2623852539-claims-representative-workers-compensation","/jobs?location=Columbus%2C+OH%2C+US%2C+43224",{"_429":428,"_434":536,"_452":453,"_444":445,"_243":438,"_441":438,"_427":428,"_111":437,"_431":432,"_433":194,"_454":453,"_442":537,"_425":538,"_455":456,"_430":127,"_476":477,"_460":539,"_478":437,"_479":537,"_481":482,"_483":540,"_485":486},["D",1771372800000],"Indianapolis, IN, US, 46262",["B","2623835284"],"/jobs/2623835284-claims-representative-workers-compensation","/jobs?location=Indianapolis%2C+IN%2C+US%2C+46262",{"_429":428,"_434":542,"_452":453,"_444":445,"_243":438,"_441":438,"_427":428,"_111":543,"_431":432,"_433":194,"_454":453,"_442":544,"_425":545,"_455":456,"_430":127,"_476":546,"_460":547,"_478":543,"_479":544,"_481":482,"_483":548,"_485":549},["D",1771200000000],"Workers Compensation Claims Representative Trainee - Entry Level","West Hills, CA, US, 91307",["B","2619550457"],"3 days ago","/jobs/2619550457-workers-compensation-claims-representative-trainee-entry-level","/jobs?location=West+Hills%2C+CA%2C+US%2C+91307","/jobs?keyword=Workers+Compensation+Claims+Representative+Trainee+-+Entry+Level","actionData","errors"]