Enable job alerts via email!

Claims Representative - Workers Compensation (REMOTE - MI, MN, TX, UT, CO, IL, IN WI & KY exp)

Sedgwick

Georgia (VT)

Remote

USD 35,000 - 150,000

Full time

2 days ago

Be an early applicant

Boost your interview chances

Create a job specific, tailored resume for higher success rate.

Job summary

Join a global leader in insurance as a Claims Representative focused on Workers Compensation. You'll adjudicate claims, develop solutions for clients, and collaborate within a caring and inclusive culture. This entry-level position offers flexibility and numerous professional development opportunities, while ensuring your personal and professional needs are met with a comprehensive benefits package.

Benefits

Flexible work schedule

Referral incentive program

Career development and promotional growth opportunities

Comprehensive benefits offering including medical, dental, and vision

Qualifications

Two years of Workers Compensation claims management experience required.
Bachelor's degree preferred.

Responsibilities

Processes low level workers compensation claims determining compensability and benefits.
Develops and coordinates action plans for claims resolution.
Administers subrogation of claims and negotiates settlements.

Skills

Empathy

Accountability

Collaboration

Growth

Inclusion

Education

Bachelor's degree from an accredited college or university

Claims Representative - Workers Compensation (REMOTE - MI, MN, TX, UT, CO, IL, IN WI & KY exp)

Join to apply for the Claims Representative - Workers Compensation (REMOTE - MI, MN, TX, UT, CO, IL, IN WI & KY exp) role at Sedgwick

Continue with Google Continue with Google

Claims Representative - Workers Compensation (REMOTE - MI, MN, TX, UT, CO, IL, IN WI & KY exp)

2 days ago Be among the first 25 applicants

Join to apply for the Claims Representative - Workers Compensation (REMOTE - MI, MN, TX, UT, CO, IL, IN WI & KY exp) role at Sedgwick

Get AI-powered advice on this job and more exclusive features.

Continue with Google Continue with Google

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

Claims Representative - Workers Compensation (REMOTE - MI, MN, TX, UT, CO, IL, IN WI & KY exp)

Are 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?

Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
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: To process low 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 with general supervision.

ESSENTIAL FUNCTIONS And RESPONSIBILITIES

Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
Administers subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented, and claims coding is correct.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

ADDITIONAL FUNCTIONS And RESPONSIBILITIES

Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.

Qualifications

Education & Licensing

Bachelor's degree from an accredited college or university preferred

Experience

Two (2) years of Workers Compensation claims management experience or equivalent combination of education and experience required.

TAKING CARE OF YOU

Flexible 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.

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.

Sedgwick 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.

Seniority level

Seniority level
Entry level

Employment type

Employment type
Full-time

Job function

Job function
Finance and Sales
Industries
Insurance

Referrals increase your chances of interviewing at Sedgwick by 2x

Continue with Google Continue with Google

REMOTE WORK FROM HOME/CLAIMS REPRESENTATIVE

Atlanta, GA $35,000 - $150,000 2 weeks ago

Bodily Injury Claims Adjuster, Rideshare

Claims Examiner- Liability (Remote/Bodily Injury Exp must)

Interstate Tractor Trailer Bodily Injury Claims Adjuster

Atlanta, GA
$60,000.00
-
$70,000.00
1 week ago

Georgia, United States
$43,000.00
-
$56,200.00
5 days ago

Lawrenceville, GA
$51,807.00
-
$83,551.00
1 month ago

Claims Adjuster - Workers Compensation (Remote w/ any of exp in MI, MN, TX, UT, CO, IL, IN, WI & KY)

Atlanta, GA
$38,000.00
-
$45,000.00
6 months ago

Augusta, GA
$35,000.00
-
$150,000.00
2 weeks ago

Commercial Claims Adjuster - Auto and General Liability

Atlanta, GA
$55,500.00
-
$89,000.00
1 week ago

Georgia, United States $40,000 - $52,300 1 day ago

Outside Adjuster Consultant I - Buford, GA

Claims Team Lead, Transportation (Bodily Injury)

General Liability Claims Adjuster - Construction

Senior General Liability Claims Adjuster

Atlanta, GA $66,000 - $105,500 2 weeks ago

Commercial Property Adjuster - Inland Marine

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

Get your free, confidential resume review.

or drag and drop a PDF, DOC, DOCX, ODT, or PAGES file up to 5MB.

Similar jobs