Medical-Only Workers' Comp Claims Specialist (VA)

Sedgwick; Virginia (IL); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package

Job summary

Sedgwick is seeking a dedicated Claims Examiner for Medical Only Workers Compensation in the VA jurisdiction. You will adjudicate complex claims, negotiate settlements, and communicate with claimants and clients while leveraging a broad national network.

The role emphasizes empathy, accuracy, and timely resolutions. Qualifications include 2+ years in claims management or equivalent, a high school diploma (bachelor's preferred), and a commitment to Sedgwick’s care-driven culture.

Qualifications

• 2 years of claims management experience or equivalent combination of education and experience required.
• Medical Only: Worker’s Compensation knowledge preferred.
• Bachelor's degree from an accredited college or university 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

Medical-only

Communication

Education

High School Diploma

Job description

Sedgwick is seeking a dedicated Claims Examiner for Medical Only Workers Compensation in the VA jurisdiction. You will adjudicate complex claims, negotiate settlements, and communicate with claimants and clients while leveraging a broad national network.

The role emphasizes empathy, accuracy, and timely resolutions. Qualifications include 2+ years in claims management or equivalent, a high school diploma (bachelor's preferred), and a commitment to Sedgwick’s care-driven culture.