Remote Workers' Comp Claims Adjuster

Sedgwick; Cheyenne (WY); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Medical, dental, vision, 401k on day 1

Job summary

Sedgwick is seeking a Claims Adjuster - Workers' Compensation to analyze mid- and higher-level claims and determine benefits due. The role supports remote work across multiple states, with licensing required and a focus on adjudication within company standards.

Strong analytical and communication skills are essential. Ideal candidates will have a Bachelor's degree, 4 years of claims management experience, and knowledge of MI, TX, IN, IL, OH jurisdictions, plus home-state licensing.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Four (4) years of claims management experience or equivalent.
• Jurisdiction knowledge: MI, TX, IN, IL, OH.
• Licensing: Home State Required.

Responsibilities

• Manages workers compensation claims determining compensability and benefits due.
• Develops and manages claims action plans to resolution and coordinates return-to-work.
• Approves and processes assigned claims and manages action plans.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim actions with claimants and clients.
• Ensures claim files are properly documented and claims coding is correct.

Skills

Claims management

Education

Bachelor's degree

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Adjuster - Workers' Compensation to analyze mid- and higher-level claims and determine benefits due. The role supports remote work across multiple states, with licensing required and a focus on adjudication within company standards.

Strong analytical and communication skills are essential. Ideal candidates will have a Bachelor's degree, 4 years of claims management experience, and knowledge of MI, TX, IN, IL, OH jurisdictions, plus home-state licensing.