Hybrid/Remote Workers’ Comp Claims Specialist

Sedgwick Claims Management Services Ltd; Ohio; Hybrid; USD 65,000 - 70,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Comprehensive benefits (medical, {d}n,

Job summary

Sedgwick Claims Management Services Ltd in Ohio is hiring a Workers Compensation Claims Representative to analyze Lost-Time Ohio claims and determine benefits with timely adjudication. The role offers a hybrid work model, with location flexibility for Seven Hills or Dublin, OH, and a strong emphasis on client service and accuracy.

The ideal candidate has 3+ years of claims management experience, a high school diploma or GED, and preferred bachelor’s education.

Qualifications

• 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

• 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.

Skills

Claims management

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Tools

Microsoft Office

Job description

Sedgwick Claims Management Services Ltd in Ohio is hiring a Workers Compensation Claims Representative to analyze Lost-Time Ohio claims and determine benefits with timely adjudication. The role offers a hybrid work model, with location flexibility for Seven Hills or Dublin, OH, and a strong emphasis on client service and accuracy.

The ideal candidate has 3+ years of claims management experience, a high school diploma or GED, and preferred bachelor’s education.