IAP Claims Representative – SkillBridge Conversion

Sedgwick

. Attend and complete the designated claims professional training program .

Posted 9/21/2026full-timeVirginia • United StatesJuniorMid-Level💰 $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong investigative skills and the ability to analyze complex claims situations while ensuring compliance with jurisdictional guidelines. Proficient in communication and documentation, effectively engaging with various stakeholders in the claims process.

Highest-signal resume keywords

Claims InvestigationCustomer Service ExperienceStrong Communication SkillsProblem SolvingAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingDocumenting Claims FilesCoding Claim ActivityIndemnity AdministrationMedical Benefits Administration

Soft Skills

Clear ThinkingJudgmentTroubleshootingDiscretionAbility to Handle Stress

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Workers' Compensation ClaimsCoverage DeterminationSubrogation IssuesFraud IndicatorsState Compliance

About the role

Key responsibilities & impact

Attend and complete the designated claims professional training program
Adjust various levels of workers’ compensation claims under close supervision
Process and respond to incoming mail, emails, and other claim-related documents
Communicate with injured workers, insureds/employers, medical providers, attorneys, and carrier representatives through telephone, video conference, and email
Investigate new and existing claims by gathering medical records, employer reports, and witness statements
Investigate employer/employee relationships, policy verification, coverage, potential subrogation issues, and fraud indicators
Determine coverage, compensability, and appropriate benefits according to jurisdictional guidelines and carrier program requirements
Document claims files and code claim activity
Prepare detailed reports documenting findings and recommendations
Administer indemnity and medical benefits while maintaining calendared claim-related action items and state compliance
Participate in virtual and/or in-person meetings, claim reviews, and business functions for training and claim discussions

Requirements

What you’ll need

High School Diploma or GED
Bachelor's degree preferred
2 years of customer service experience and/or combination of education and experience
Strong communication skills
Ability to investigate and resolve complex situations
Ability to handle multiple priorities simultaneously and meet deadlines
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Ability to handle work-related stress
Computer keyboarding
Hearing, vision and talking
Ability to attend and complete designated claims professional training program

Benefits

Comp & perks

Career development and promotional growth opportunities through increasing responsibilities
Medical insurance
Dental insurance
Vision insurance
401(k) and matching
Paid time off (PTO)
Disability insurance
Life insurance
Employee assistance program
Flexible spending or health savings account
Other additional voluntary benefits
Reasonable accommodations
Assigned mentor and manager support
Comprehensive 4-week concept-based learning and professional training program
Dedicated onboarding experience