Remote-Eligible Workers' Compensation Claims Specialist

Sedgwick Claims Management Services Ltd; Cincinnati (OH); Hybrid; USD 50,000 - 55,000; Full time

Benefits offered by this job

Hybrid work option near Blue Ash

Remote options for non-local

Comprehensive benefits package

Job summary

Sedgwick Claims Management Services Ltd in Cincinnati is seeking driven individuals to adjudicate Workers' Compensation Lost-Time claims, determine benefits due, and maintain adjudication within service expectations and client requirements.

The role offers a hybrid work arrangement near Blue Ash, OH, with remote options for non-local candidates, opportunities to negotiate settlements, and direct collaboration with claimants and clients in a fast-paced, growth-focused environment.

Qualifications

• 1+ years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction knowledge AZ & TN.
• Licensing: 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

Analytical thinking

Communication

Negotiation

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick Claims Management Services Ltd in Cincinnati is seeking driven individuals to adjudicate Workers' Compensation Lost-Time claims, determine benefits due, and maintain adjudication within service expectations and client requirements.

The role offers a hybrid work arrangement near Blue Ash, OH, with remote options for non-local candidates, opportunities to negotiate settlements, and direct collaboration with claimants and clients in a fast-paced, growth-focused environment.