Claims Representative (IAP) - Workers Compensation Training Program | ID Residents

PRIMARY PURPOSE:  To be oriented and trained as new industry professional with the ability to analyze workers compensation, general liability or disability claims and determine benefits due.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Attendance and completion of designated classroom claims professional training program.
• Performs on-the-job training activities including:
  • Adjusting lost-time workers compensation claims under close supervision.  May be assigned medical only claims.
  • Adjusting low and mid-level liability and/or physical damage claims under close supervision.
  • Processing disability claims of minimal disability duration under close supervision.
  • Documenting claims files and properly coding claim activity.
  • Communicating claim action/processing with claimant and client.
  • Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned.
• Participates in rotational assignments to provide temporary support for office needs.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred or equivalent experience as outlined below.

Experience
No experience required with college degree.  State license, self-insured certificate, WCCA/WCCP designation, or completion of the Sedgwick Claims Progression Program required without a degree.  Prior claims experience preferred.

Skills and Knowledge

• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

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