(Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions

Sedgwick; Kansas; Remote; USD 47,000 - 62,000; Full time

Job summary

A leading claims management firm is seeking a Claims Adjuster to analyze mid to high-level Workers Compensation claims. The ideal candidate has 4+ years of claims management experience and strong analytical and negotiation skills. This is a remote position offering great flexibility and comprehensive benefits. The role includes negotiating settlements and communicating with clients and claimants.

Benefits

Flexible work schedule

Career development opportunities

Diverse benefits package

Qualifications

• 4+ years of claims management experience or equivalent combination of education and experience required.
• Professional certification as applicable to line of business preferred.
• Designated home state license preferred.

Responsibilities

• Analyze and process claims through well-developed action plans.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with claimant and client.

Skills

Claims management experience

Analytical skills

Negotiation skills

Communication skills

Education

High School Diploma or GED

Bachelor’s degree from an accredited college or university

Job description

Overview

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

(Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions

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.

Office Locations

Position offered remotely.

Candidates near Bartlesville, OK - hybrid preferred.

Primary Purpose of the Role

To analyze mid to high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

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.

Qualifications

Education & Licensing: 4+ years of claims management experience or equivalent combination of education and experience required.

• 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.

Licensing / Jurisdiction Knowledge: Designated home state license preferred. Jurisdictional experience to include: KS, NE, IN, KY, FL, AR, IL

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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ( 47,011.00 - 62,000.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claimsexaminer #claims #remote

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.