Claims Specialist (Hybrid) 2025-1391
Company: Managed Care Advisors
Location: Bethesda
Posted on: February 1, 2025
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Job Description:
Position Title: Claims Specialist (Hybrid) 2025-1391 Location:
Bethesda, Maryland, United States Job Category: Client Services Job
Type: Full Time Description: Overview- Claims SpecialistAre you
focused on details, skilled in claims management, and committed to
customer service? Would you like to work in a professional
organization that values intelligence, integrity and initiative?
Would you like to be appreciated for your technical expertise? As a
Claims Specialist working on a Federal contract, you will be part
of a collegial team that processes workers' compensation claims and
communicates with all workers' compensation stakeholders, including
the Agency. In this position, you are responsible for daily claims
management of workers' compensation claims nationally. You are
recognized as a general technical expert in the interpretation of
complex or unusual policy coverages in area of expertise. Under
general management direction, you work with broad authority on
assignments requiring a degree of technical complexity and
coordination. ResponsibilitiesEducating and assisting federal
employees with claims under the Federal Employees' Compensation Act
(FECA) regarding the claims process and status.Using the Employees'
Compensation Operations and Management Portal (ECOMP) to monitor,
review, and submit claims for workers' compensation
benefits.Answering incoming telephone calls from federal employees
and agency representatives.Facilitating the timely completion and
submission of all required forms.Reviewing medical and
administrative documentation for accuracy.Identifying and resolving
claims documentation omissions or deficiencies.Answering questions
with regard to the claims process.Calculate and verify Continuation
of Pay and compensation amounts.Maintain high quality standards in
accordance with our Quality ProgramSome evening or weekend coverage
may be required.QualificationsBachelor's degreeA minimum of 2
years' experience in workers' compensation, lost time claim
handling, claims adjuster/administration, case management, claims
life cycle, and/or utilization reviewAn additional 4 years'
experience may be substituted for a bachelor's degreeFederal
Employees' Compensation Act (FECA) knowledge preferredStrong
computer skills (Microsoft Excel, Word, PowerPoint, and
Outlook)U.S. citizenAble to obtain and maintain security
clearanceFor a career path that is both challenging and rewarding,
join Sedgwick Government Solution's talented team. Taking care of
people is at the heart of everything we do. Our clients depend on
our talented colleagues to take care of their most valuable
assets-their employees, and their customers. At Sedgwick Government
Solutions, caring counts--. Join our team of creative and caring
people of all backgrounds and help us make a difference in the
lives of others. Sedgwick Government Solutions provides a
reasonable range of compensation for roles that may be hired in
jurisdictions requiring pay transparency in job postings. Actual
compensation is influenced by a wide range of factors including but
not limited to skill set, level of experience, and cost of a
specific location. A comprehensive benefits package is offered
including but not limited to, medical, dental, vision, 401k and
matching, PTO, disability and life insurance, employee assistance,
flexible spending or health savings account, and other additional
voluntary benefits. To be considered for this position, please
submit a resume, and complete the application. The information
provided above has been designed to indicate the general nature and
level of work of the position. It is not a comprehensive inventory
of all duties, responsibilities, and qualifications required.
Important InformationSuccessful candidates will be required to
undergo a financial and criminal background check and obtain and
maintain confidential-level security clearance upon hire. We
participate in the United States Federal Government E-Verify
program to confirm the employment authorization of the employee
upon hire. Search Firm Representatives Please be advised that
Sedgwick Government Solutions (Government Solutions) is not seeking
assistance or accepting unsolicited resumes from search firms for
this employment opportunity. Regardless of past practice, a valid
written agreement and task order must be in place before any
resumes are submitted to Government Solutions. All resumes
submitted by search firms to any employee at Government Solutions
without a valid written agreement and task order in place will be
deemed the sole property of Government Solutions and no fee will be
paid in the event that person is hired by Government Solutions.
Government Solutions strives to make our career site accessible to
all users. If you need a disability-related accommodation for
completing the application process, please contact Government
Solutions regarding accommodations. Sedgwick Government Solutions
is an Equal Opportunity and Affirmative Action Employer All
qualified applicants will receive consideration for employment
without regard to age, citizenship status, color, disability,
marital status, national origin, race, religion, sex, sexual
orientation, gender identity, veteran status, or any other
classification protected by federal state or local laws as
appropriate, or upon the protected status of the person's
relatives, friends or associates. Sedgwick Government Solutions
abides by the requirements of 41 CFR 60-741.5(a). This regulation
prohibits discrimination against qualified individuals on the basis
of disability and requires affirmative action by covered prime
contractors and subcontractors to employ and advance in employment
qualified individuals with disabilities. Sedgwick Government
Solutions abides by the requirements of 41 CFR 60-300.5(a). This
regulation prohibits discrimination against qualified protected
veterans and requires affirmative action by covered prime
contractors and subcontractors to employ and advance in employment
qualified protected veterans. About SedgwickSedgwick Government
Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a
leading global provider of technology-enabled risk, benefits, and
integrated business solutions. Taking care of people is at the
heart of everything we do. Millions of people and organizations
count on Sedgwick each year to take care of their needs when they
face a major life event or something unexpected happens. The
company provides a broad range of resources tailored to clients'
specific needs in casualty, property, marine, benefits, and other
lines. At Sedgwick, caring counts--; through the dedication and
expertise of more than 27,000 colleagues across 65 countries, the
company takes care of people and organizations by mitigating and
reducing risks and losses, promoting health and productivity,
protecting brand reputations, and containing costs that can impact
the bottom line. www.sedgwick.com Privacy - Sedgwick Terms and
Conditions - Sedgwick PI905b439934ba-25660-36457224
Keywords: Managed Care Advisors, Bethesda , Claims Specialist (Hybrid) 2025-1391, Other , Bethesda, Maryland
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