Claims Adjuster - Workers Compensation | Juridicition: Midwest States | Licensing: Home State R[...]

Sedgwick Claims Management Services Ltd; West Des Moines (IA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Referral program

Medical benefits

Dental benefits

Vision benefits

401K on day one

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Adjuster - Workers Compensation in the Midwest region. You will analyze mid- to higher-level workers' compensation claims to determine benefits due and ensure adjudication aligns with standards.

Required: 4 years of claims management experience; High School Diploma or GED; Bachelor's degree preferred; home-state licensing. The role offers hybrid work with 2 days in office and 3 days remote and a comprehensive benefits package.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• 4 years of claims management experience or equivalent.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.

Job description

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 CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceClaims Adjuster - Workers Compensation | Juridicition: Midwest States | Licensing: Home State RequiredAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.WORK LOCATIONS: Hybrid, 2 days in office, 3 days work from home.PRIMARY PURPOSE OF THE ROLE To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.ESSENTIAL RESPONSIBLITIES MAY INCLUDEAnalyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.Negotiating settlement of claims within designated authority.Communicating claim activity and processing with the claimant and the client.Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner .QUALIFICATIONSEducation & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.Experience : 4 years of claims management experience or equivalent combination of education and experience required.Jurisdiction: Midwest statesLicensing: Home state requiredTAKING CARE OF YOUFlexible work schedule.Referral incentive program.Career development and promotional growth opportunities.A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.WORK ENVIRONMENT REQUIREMENTS INCLUDEWhen applicable and appropriate, consideration will be given to reasonable accommodations.Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual : Hearing , vision and talkingThe 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 timeSedgwick 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.