Remote Claims Specialist — Workers’ Comp

Sedgwick; San Juan (PR); Hybrid; USD 50,000 - 69,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick in Chicago, IL is seeking a Claims Representative - Workers Compensation to analyze claims, determine benefits, and adjudicate within service standards. Hybrid/remote work options are available depending on location.

Qualifications include a High School Diploma or GED (Bachelor's degree preferred), 2 years of claims experience, and licensing considerations (TX/FL or non-resident state preferred). Comprehensive benefits and career growth await.

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.
• Jurisdiction Knowledge: Non resident states.
• Licensing: TX or FL or non resident state license 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.

Education

High School Diploma or GED

Bachelor\'s degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick in Chicago, IL is seeking a Claims Representative - Workers Compensation to analyze claims, determine benefits, and adjudicate within service standards. Hybrid/remote work options are available depending on location.

Qualifications include a High School Diploma or GED (Bachelor's degree preferred), 2 years of claims experience, and licensing considerations (TX/FL or non-resident state preferred). Comprehensive benefits and career growth await.