Remote NC Workers' Comp Claims Adjuster

Sedgwick Claims Management Services Ltd; North Carolina; Hybrid; USD 52,000 - 72,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development opportunities

Benefits on day one

Job summary

Sedgwick is seeking a Workers' Compensation Claims Adjuster to analyze claims for multiple client portfolios, determine benefits, and ensure timely adjudication aligned with client service standards. The role requires NC licensing knowledge, strong communication with claimants and clients, and the ability to address settlements within authority.

The position offers a flexible, potentially remote work arrangement, with travel to hearings as needed and a focus on professional growth, diversity,

Qualifications

• High School Diploma or GED is required.
• Bachelor's degree is preferred.
• Professional certification relevant to the line of business is preferred.
• 4 years of claims management experience or an equivalent combination of education and experience.
• Licensing/Jurisdiction knowledge: NC required.

Responsibilities

• Analyze Workers' Compensation claims on behalf of clients to determine benefits due and adjudicate claims within service expectations and client requirements.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and the client.
• Report claims to the excess carrier and respond to directions in a timely manner.
• Travel to hearings as needed; hearing attendance is infrequent.

Education

High School Diploma or GED

Bachelor's degree

Professional certification (as applicable to line of business)

4 years of claims management experience or equivalent

NC licensing knowledge

Job description

Sedgwick is seeking a Workers' Compensation Claims Adjuster to analyze claims for multiple client portfolios, determine benefits, and ensure timely adjudication aligned with client service standards. The role requires NC licensing knowledge, strong communication with claimants and clients, and the ability to address settlements within authority.

The position offers a flexible, potentially remote work arrangement, with travel to hearings as needed and a focus on professional growth, diversity,