Hybrid Workers' Comp Claims Specialist

Sedgwick; Plano (TX); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile work environment

Career development and promotional成长

Comprehensive benefits: medical, dent,

401K on day one

Job summary

Sedgwick in Plano, TX, is seeking a Workers’ Compensation - Claims Representative to analyze complex claims for multiple clients. The role combines in-office collaboration with two remote days in a hybrid schedule, emphasizing adherence to service expectations and client requirements.

The ideal candidate will have 2 years of claims management experience, TX licensing, and a bachelor’s-level background. This position offers growth, competitive benefits, and a supportive team culture.

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: 2 years of claims management experience or equivalent combination of education and experience required.
• Licensing: TX Required and OK, LA preferred
• Jurisdiction Knowledge: TX, OK, LA

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 analysis

Negotiation

Client communication

Time management

Education

High school diploma or GED

Bachelor’s degree preferred

Professional certification applicable to LOB

Job description

Sedgwick in Plano, TX, is seeking a Workers’ Compensation - Claims Representative to analyze complex claims for multiple clients. The role combines in-office collaboration with two remote days in a hybrid schedule, emphasizing adherence to service expectations and client requirements.

The ideal candidate will have 2 years of claims management experience, TX licensing, and a bachelor’s-level background. This position offers growth, competitive benefits, and a supportive team culture.