Remote Medical Claims Analyst | Multi-State

Sedgwick; Lansing (MI); Hybrid; USD 41,000 - 57,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

Job summary

Sedgwick is hiring for a claims representative focusing on Medical Only with multi-state licensing requirements. This role supports a hybrid work model, combining office and remote work, and emphasizes careful analysis, client communication, and timely adjudication of medical-only claims.

Qualifications include a high school diploma or GED (bachelor’s preferred) and at least 2 years’ claims experience. Sedgwick offers comprehensive benefits and opportunities for professional growth.

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: Multi State
• Licensing: Home State Required

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 preferred

Professional certification

Job description

Sedgwick is hiring for a claims representative focusing on Medical Only with multi-state licensing requirements. This role supports a hybrid work model, combining office and remote work, and emphasizes careful analysis, client communication, and timely adjudication of medical-only claims.

Qualifications include a high school diploma or GED (bachelor’s preferred) and at least 2 years’ claims experience. Sedgwick offers comprehensive benefits and opportunities for professional growth.