We apologize, but this job is no longer available.
The Claims Examiner I - Workers Compensation job in Atlanta, GA is currently inactive or expired. Please do not contact Sedgwick CMS regarding this position. To aid your job search, use our quick links to browse similar jobs.
Claims Examiner I - Workers' Compensation
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."
PRIMARY PURPOSE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
Supports other claims examiners and claims supervisors with larger or more complex claims as necessary.
Processes workers compensation claims determining compensability and benefits due, monitors reserve accuracy and files necessary documentation with state agency.
Communicates claim action/processing with claimant, client, and appropriate medical contact.
Ensures claim files are properly documented and claims coding is correct.
Maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the total performance management initiative.
QUALIFICATIONS
Education & Licensing
High school diploma or GED required. Licenses as required.<