Ohio Workers’ Comp Claims Advocate (Hybrid)

Sedgwick Claims Management Services Ltd; Seven Hills (OH); Hybrid; USD 65,000 - 70,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K on day one

PTO

Life insurance

Flexible spending / HSA

Job summary

Sedgwick Claims Management Services Ltd in Ohio is seeking an experienced Workers' Compensation Claims Representative to analyze Ohio Lost-Time claims, determine benefits due, and adjudicate claims in line with client service requirements. This hybrid role supports work near Seven Hills or Dublin, OH, with flexible schedules.

Candidates need 3+ years of claims management experience and a High School Diploma or GED; a Bachelor's degree is preferred.

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

• 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

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick Claims Management Services Ltd in Ohio is seeking an experienced Workers' Compensation Claims Representative to analyze Ohio Lost-Time claims, determine benefits due, and adjudicate claims in line with client service requirements. This hybrid role supports work near Seven Hills or Dublin, OH, with flexible schedules.

Candidates need 3+ years of claims management experience and a High School Diploma or GED; a Bachelor's degree is preferred.