To analyze low to high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. Managing claim recoveries if applicable. Negotiating settlement of claims within designated authority. Referring cases as appropriate to supervisor and management. Calculating and assigning timely and appropriate reserves to claims. Ensuring claim files are properly documented and claims coding is correct. Communicating claim activity and processing with the claimant and the client. QUALIFICAT...Workers Compensation, Claims, Compensation, Worker, Administrative, Insurance
Sedgwick Claims Management Services
07/06/2024
Seatac,WA