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Sedgwick

Workers Compensation Claims Associate | Medical Only Claims | Baltimore, MD - Hybrid

Entry-Level JobVerifiedNo experience needed

Career Insights for Medical Claims Processor / Representative

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$43,032 / year median in Maryland

-5% projected decline

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Job Description

Workers Compensation Claims Associate | Medical Only Claims | Baltimore, MD - Hybrid Sedgwick - 2.9 Baltimore, MD Job Details Full-time 22 hours ago Benefits Health savings account Disability insurance Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Flexible schedule Life insurance Referral program Qualifications High school diploma or GED Productivity software Full Job Description 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. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate | Medical Only Claims | Baltimore, MD - Hybrid Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? 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 be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due.
OFFICE LOCATION/SCHEDULE
Baltimore, MD Hybrid - 2 days in-office per week 37.5 hour work week
ARE YOU AN IDEAL CANDIDATE?
We are looking for an enthusiastic candidate to fill a Workers Compensation Associate 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; medical terminology preferred
TAKING CARE OF YOU
Flexible work schedule. Ability to work in an agile environment Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefit package offering including medical, dental vision, 401K.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When 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
Auditory/Visual:
Hearing, vision and talking 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 ($23.00 - $25.00/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.

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Health Insurance
  • Dental Insurance