Remote Medical Claims Representative | Flexible Schedule

Sedgwick; Lincoln (NE); Hybrid; USD 41,000 - 57,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Growth opportunities

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick, a global leader in claims management, is seeking a Claims Representative - Medical Only (Hybrid) to analyze medical-only claims for multi-state clients. This role offers a meaningful path for growth and a balance between office and remote work.

Ideal for individuals seeking an entry into claims with structured development, Sedgwick provides a comprehensive benefits package and opportunities to learn from a broad network of experts while supporting client service excellence.

Qualifications

• Education & Licensing: High School Diploma or GED required. Bachelor’s degree from an accredited college or university 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 to determine exposure and resolve in a timely manner.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions promptly.

Skills

Claims management experience

Jurisdiction knowledge

Home State licensing

Education

High School Diploma or GED

Bachelor’s degree preferred

Job description

Sedgwick, a global leader in claims management, is seeking a Claims Representative - Medical Only (Hybrid) to analyze medical-only claims for multi-state clients. This role offers a meaningful path for growth and a balance between office and remote work.

Ideal for individuals seeking an entry into claims with structured development, Sedgwick provides a comprehensive benefits package and opportunities to learn from a broad network of experts while supporting client service excellence.