Remote Workers' Comp Claims Adjuster

Sedgwick; Charleston (SC); Remote; USD 55,000 - 71,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career growth

Medical, dental, vision

401K on day one

Job summary

Sedgwick, a global leader in claims administration, seeks a Claims Examiner for Workers' Compensation. Analyze and adjudicate claims for clients, determine benefits due, and ensure timely processing within service expectations.

Qualifications include 4 years of claims management experience, FL licensing, and a HS diploma with a Bachelor’s degree preferred. This role offers remote or hybrid work options, competitive pay, and a comprehensive benefits package.

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: 4 years of claims management experience or equivalent combination of education and experience required.
• Licensing: FL required
• Jurisdiction Knowledge: FL, AZ, TN

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 analysis

Negotiation

Communication

Jurisdiction knowledge (FL, AZ, TN)

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick, a global leader in claims administration, seeks a Claims Examiner for Workers' Compensation. Analyze and adjudicate claims for clients, determine benefits due, and ensure timely processing within service expectations.

Qualifications include 4 years of claims management experience, FL licensing, and a HS diploma with a Bachelor’s degree preferred. This role offers remote or hybrid work options, competitive pay, and a comprehensive benefits package.