Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
PRIMARY PURPOSE: To provide initial research/data collection on new workers compensation (WC) claims; to assist in prompt and accurate reporting of required and situational claim data elements to the Bureau of Workers Compensation (BWC) via electronic data transmission; and to receive, review and research new claim EDI transmission from BWC.
ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE:
- Receives notices of new claims via telephone, BWC-EDA-148 transmissions, or first report of injury (FROI) through FROI form, C-9, and other documentation; and receives, reviews and researches FROI reports to obtain required and situational data elements to facilitate initial EDI to BWC.
- Receives, reviews and researches new EDI transmissions from BWC to identify case acuity level and refers to disability management per SMCO policy; initiates first EDI on new claim within four (4) calendar days.
- Communicates with service provider, injured worker and employer to obtain accurate data elements for evaluation and identification of acuity level and assigns to appropriate staff
- Educates employers to expedite early communications for claims processing and identifying Return to Work barriers.
- Maintains current knowledge of BWC rules/laws, WC process and SMCO policies and procedures.
EDUCATION AND LICENSING:
High School Diploma and/or GED.
TAKING CARE OF YOU BY:
- Offering a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.
- Providing career advancement opportunities.
- Creating structured environments to thrive in.
- Delivering clear role expectations.
- Providing an opportunity to contribute to a larger purpose.
- Working with teams that are striving towards same vision/goals.
- Committing to a strong team and customer service orientation.
- Celebrating your career achievements and each other through professional development opportunities, team building initiatives and more.
NEXT STEPS:
If your application is selected to advance to the next round, a recruiter will be in touch
#claims #workerscomp #research #datacollection #triageassociate
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.
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