Claims Representative - Workers Compensation | Jurisdiction: AK | Licensing: AK - Remote

Claims Representative
- Workers Compensation | Jurisdiction: AK | Licensing: AK page is loaded## Claims Representative
- Workers Compensation | Jurisdiction: AK | Licensing: AK locations:
Anchorage, AKtime type:
Full time posted on:
Posted Todayjob requisition :
R73174

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(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative
- Workers Compensation | Jurisdiction: AK | Licensing: AK
* A stable and consistent work environment in an office setting
* A training program to learn how to help employees and customers from some of the world’s most reputable brands
* An assigned mentor and manager who will guide you on your career journey
* 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 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.

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
** ESSENTIAL RESPONSIBLITIES MAY INCLUDE
*** 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.
** QUALIFICATIONS
* * Education & Licensing: 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:
** AK
* * Licensing:
** AK
* * TAKING CARE OF YOU
** Flexible work schedule.

Referral incentive program.

Opportunity to work in an agile environment.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
** WORK ENVIRONMENT
** 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, travel as required
** Auditory/Visual:
** Hearing, vision and talking

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…