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.

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Claims Technician - Sea Tac, WA - Hybrid

PRIMARY PURPOSE: To provide technical claims support to the claims staff and customer service to claimants, clients and vendors.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Calculates average weekly wage and compensation rate; submits to examiner for approval.Calculates and schedules weekly Total Temporary Disability/Total Permanent Disability (TTD/TPD) indemnity payments; submits to examiner for approval.Calculates and verifies court ordered payments and issues timely; submits to examiner for approval.Calculates cost of living adjustments (COLA) per state requirements; submits to examiner for approval.Handles utilization review, vendor, claimant and client calls for the claims examiners.Submits approved bills to the bill review vendor for payment.Calculates and processes out-of-pocket expenses and manual bills for vendors and claimants.Performs administrative duties, such as filing, copying, etc., as required. 

ADDITIONAL FUNCTIONS and RESPONSIILITIES

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

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

One (1) year of clerical or customer service experience or equivalent combination of experience and education required.

Skills & Knowledge

Excellent oral and written communication, including presentation skillsPC literate, including Microsoft Office productsStrong organizational skillsExcellent interpersonal skillsAbility to work in a team environmentAbility to meet or exceed Performance Competencies

WORK ENVIRONMENT

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

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

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.