Workers Compensation Consultant- Level 1 job opportunity at Sedgwick.

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DateMore Than 30 Days Ago bot
Sedgwick Workers Compensation Consultant- Level 1
Experience: General
Pattern: full-time
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loacation Canada Telecommuter, Canada
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By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Consultant- Level 1 We’re hiring Workers’ Compensation Consultants! If you have experience handling Workers Compensation claims across Canadian jurisdictions—or background in absence management, leave administration, STD/LTD adjudication—we’d love to have you on our team. Ideal candidates will bring: Paralegal expertise for handling claims, appeals, and compliance matters Strong knowledge of workers’ compensation legislation and health & safety standards Proven ability to manage complex claims processes and collaborate with stakeholders Experience in HR leave programs, disability case management, and policy interpretation If you are passionate about supporting colleagues through challenging times and ensuring compliance, we want to hear from you! PRIMARY PURPOSE :  To analyze reported less complex 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 representatives, examiners and leads 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. May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims. Maintains professional client relationships. ADDITIONAL FUNCTIONS AND RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge Skills & Knowledge Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies Job type: This posting is to create a candidate pool for future opportunities   Compensation Information: Salary Range : $30,000 - $50,000 annually Compensation is determined based on experience, qualifications, and internal equity. Sedgwick is committed to transparent and equitable pay practices. 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. Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review. We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation. Sedgwick is an Equal Opportunity Employer OBJECTIF  :  Analyser les demandes d'indemnisation moins complexes présentées afin de déterminer les indemnités dues et de garantir le traitement continu des demandes conformément aux normes de l'entreprise et aux meilleures pratiques du secteur. PRINCIPALES FONCTIONS ET RESPONSABILITÉS Traite les réclamations médicales seulement et les réclamations mineures pour perte de temps en matière d’indemnisation des travailleurs sous supervision étroite. Soutient les autres représentants, réviseurs et chefs de réclamations pour les dossiers plus importants ou complexes, au besoin. Traite les réclamations d’indemnisation des travailleurs en déterminant la recevabilité et les indemnités dues; surveille l’exactitude des provisions et dépose la documentation requise auprès de l’organisme provincial. Communique les mesures ou le traitement de la réclamation avec le demandeur, le client et le contact médical approprié. Veille à ce que les dossiers de réclamation soient correctement documentés et que la codification des réclamations soit exacte. Peut traiter les paiements courants, les ordonnances et les rapports d’état pour les réclamations médicales à vie et/ou pour une période définie. Maintient des relations professionnelles avec les clients. AUTRES FONCTIONS ET RESPONSABILITÉS Effectue d’autres tâches selon les besoins. Soutient les programmes de qualité de l’organisation. QUALIFICATIONS Formations et permis Diplôme d’études secondaires requis. Expérience Un (1) an d’expérience générale en bureau ou combinaison équivalente de formation et d’expérience requise. Expérience dans le domaine des réclamations souhaitée. Compétences et connaissances Excellentes compétences en communication orale et écrite Maîtrise des outils informatiques, y compris les produits Microsoft Office Compétences analytiques et interprétatives Solides compétences organisationnelles Bonnes aptitudes interpersonnelles Capacité à travailler en équipe Capacité à atteindre ou dépasser les compétences de rendement Les déclarations contenues dans ce document ont pour but de décrire la nature générale et le niveau du travail effectué par un collègue affecté à cette description. Elles ne constituent pas une liste exhaustive des fonctions, des tâches ou des variations locales. La direction se réserve le droit d'ajouter ou de modifier les tâches liées à ce poste à tout moment. Lorsque cela s’applique, Sedgwick utilise des outils d’intelligence artificielle pour contribuer au filtrage, à l’évaluation ou à la sélection des candidatures. Ces outils font l’objet d’examens périodiques. Nous nous engageons à des procédures de recrutement et de sélection inclusifs et sans obstacles. Si nous vous contactons pour une possibilité d’emploi, veuillez informer l’équipe des Ressources collègues si vous avez besoin de mesures d’adaptation. Sedgwick est un employeur souscrivant au principe de l'égalité d'accès à l'emploi. Sedgwick is an Equal Opportunity Employer. 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. Sedgwick retains the discretion to add or to change the duties of the position at any time.

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