Remote Workers' Comp Claims Adjuster

Sedgwick; City of Albany (NY); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career growth opportunities

Benefits on day one

Job summary

Sedgwick is hiring a Claims Adjuster for Workers’ Compensation to adjudicate mid- and high-level claims remotely. You will determine benefits due, manage subrogation, and negotiate settlements for clients across multiple jurisdictions, including handling complex lifetime medical claims as needed.

The role requires a bachelor’s degree, four years of claims experience, and active home-state licensing. Sedgwick offers a comprehensive benefits package and a flexible work arrangement.

Qualifications

• Bachelor's degree preferred or equivalent.
• Four years of claims management experience required.
• Jurisdiction knowledge: MI, TX, IN, IL, OH.
• Home state licensing required.

Responsibilities

• Analyze mid- and high-level workers compensation claims to determine benefits owed.
• Identify subrogation opportunities and negotiate settlements.
• Develop action plans, coordinate return-to-work, and approve payments.
• Communicate claim actions with claimants and clients.
• Ensure proper documentation and accurate coding of claims.

Skills

Jurisdiction knowledge

Education

Bachelor's degree

Job description

Sedgwick is hiring a Claims Adjuster for Workers’ Compensation to adjudicate mid- and high-level claims remotely. You will determine benefits due, manage subrogation, and negotiate settlements for clients across multiple jurisdictions, including handling complex lifetime medical claims as needed.

The role requires a bachelor’s degree, four years of claims experience, and active home-state licensing. Sedgwick offers a comprehensive benefits package and a flexible work arrangement.