Remote Workers' Comp Claims Adjuster

Sedgwick; Dover (DE); Remote; USD 55,000 - 71,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development

Medical, dental, vision benefits

401K on day one

Job summary

Sedgwick is seeking a Claims Adjuster for Workers' Compensation for remote work across multiple jurisdictions. You will analyze claims, determine benefits due, and ensure adjudication aligns with client requirements and industry practices.

The role requires a High School Diploma or GED (Bachelor's preferred), 4 years of claims management experience, and FL licensing; knowledge of FL, AZ, TN jurisdictions is essential. Sedgwick offers flexible schedules 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.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a Claims Adjuster for Workers' Compensation for remote work across multiple jurisdictions. You will analyze claims, determine benefits due, and ensure adjudication aligns with client requirements and industry practices.

The role requires a High School Diploma or GED (Bachelor's preferred), 4 years of claims management experience, and FL licensing; knowledge of FL, AZ, TN jurisdictions is essential. Sedgwick offers flexible schedules and a comprehensive benefits package.