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Claims Assistant
PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program.
ESSENTIAL FUNCTIONS And RESPONSIBILITIES
- Sets up and enters new claims into claims management system.
- Inputs and reviews notes/diaries in claims management system as instructed.
- Processes payments.
- Processes mail; handles filing, faxing and photocopying.
- Reviews, prepares, creates, and/or sends letters, reports, and forms.
- Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.
- Other activities/projects as assigned including the preparation and distribution of computer reports.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
Education & Licensing
High school diploma or GED required.
Experience
Six (6) months of clerical or customer service experience or equivalent combination of education and experience required.
Skills & Knowledge
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Strong organizational skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment 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 of the position at any time.
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.
