Remote Medical-Only Workers' Comp Claims Specialist

Sedgwick; Norfolk (VA); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) on day one

Paid time off (PTO)

Disability and life insurance

Employee assistance program

Flexible spending or health savings

Job summary

Sedgwick is hiring for a remote-friendly role in the VA jurisdiction. The position focuses on processing low-to-mid level Medical Only Workers’ Compensation claims for a dedicated client, with emphasis on timely adjudication and settlements within authority.

The role supports flexible work arrangements and professional development. Join a global leader in risk and claims administration, offering a comprehensive benefits package, growth opportunities, and the chance to work with a diverse range

Qualifications

• 2 years of claims management experience or equivalent combination of education and experience required.
• Medical Only
• 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.

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

Job description

Sedgwick is hiring for a remote-friendly role in the VA jurisdiction. The position focuses on processing low-to-mid level Medical Only Workers’ Compensation claims for a dedicated client, with emphasis on timely adjudication and settlements within authority.

The role supports flexible work arrangements and professional development. Join a global leader in risk and claims administration, offering a comprehensive benefits package, growth opportunities, and the chance to work with a diverse range