Claims Adjuster - Workers Compensation | Jurisdiction: TN and SC | Licensing: NC required - Remote

Sedgwick Claims Management Services Ltd; Michigan; Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development

Promotional growth opportunities

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Adjuster for Workers' Compensation to analyze claims, determine benefits due, and adjudicate claims in line with client requirements.

The ideal candidate will have at least 4 years of claims experience, NC licensing, and a high school diploma or GED (bachelor's degree preferred). This remote role offers flexible hours and opportunities for professional development.

Qualifications

• Education & 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.

Responsibilities

• Analyze workers' compensation claims to determine exposure and benefits.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity with the claimant and the client.
• Report claims to the excess carrier and respond to directions promptly.

Skills

Claims management experience

Analytical thinking

Negotiation skills

Communication skills

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Claims Adjuster - Workers Compensation | Jurisdiction: TN and SC | Licensing: NC required - RemoteAre 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.* Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.* Enjoy flexibility and autonomy in your daily work, your location, and your career path.* Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.**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. **PRIMARY PURPOSE OF THE ROLE** To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements**.** **ESSENTIAL RESPONSIBLITIES MAY INCLUDE*** Analyzing 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.**QUALIFICATIONS**Education & 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.Licensing: NC requiredJurisdiction Knowledge: NC and TN **TAKING CARE OF YOU*** Flexible work schedule.* Referral incentive program.* Opportunity to work in an agile environment.* Career development and promotional growth opportunities.* A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.**WORK ENVIRONMENT REQUIREMENTS** **INCLUDE** When 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 talking#claimsexaminer #claims #hybrid #LI-REMOTE