Claims Representative (IAP) - Workers… at Sedgwick · Omaha

Summary: Sedgwick is a company dedicated to supporting people facing unexpected situations. They are seeking enthusiastic and service-oriented individuals for an entry-level trainee position in their Workers Compensation Training Program, which includes comprehensive training and career development opportunities. Responsibilities: - Attendance and completion of designated claims professional training program - Adjusting various levels of workers’ compensation claims under close supervision, which includes: - Processing and responding to incoming mail, emails and other claim related documents according to status of the claim - Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email - Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer/employee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators - Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements - Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations - Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance - Participating in virtual and/or in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings Required Qualifications: - High School Diploma or GED - Strong Communicators - Empathetic - Multi-Taskers - Accountable - Structured Thinkers - Ambitious - Agile Learners - Team Collaborators Nice-to-Have Skills: Communicators, Empathetic, Multi-Taskers, Structured Thinkers, Ambitious, Agile Learners, Accountable, Team Collaborators Benefits: Medical, Dental, Vision, 401k and matching, PTO, Disability and life insurance, Employee assistance, Flexible spending or health savings account, Other additional voluntary benefits