Remote Workers' Comp Claims Adjuster

Sedgwick; Lansing (MI); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development opportunities

Medical, dental, vision, 401K and more

Job summary

Sedgwick is seeking a remote Claims Adjuster for Workers’ Compensation to analyze mid- and higher-level claims across multiple jurisdictions (MI, TX, IN, IL, OH). The role focuses on determining benefits, managing subrogation, and negotiating settlements within company standards.

Ideal candidates will have a Bachelor's degree and at least 4 years of claims management experience, with licensing required in their home state. Sedgwick offers flexible schedules and a comprehensive benefits package.

Qualifications

• Bachelor's degree preferred.
• Four (4) years of claims management experience or equivalent.
• Jurisdiction knowledge: MI, TX, IN, IL, OH.
• Home state licensing required.

Responsibilities

• Analyses mid- to high-level workers compensation claims to determine benefits.
• Ensures adjudication of claims aligns with standards and best practices.
• Identifies subrogation opportunities and negotiates settlements.
• Manages return-to-work efforts and approves payments.
• Maintains accurate documentation and claim coding.
• Communicates claim actions with claimants and clients.

Skills

Claims management

Jurisdiction knowledge

Attention to detail

Education

Bachelor's degree

Job description

Sedgwick is seeking a remote Claims Adjuster for Workers’ Compensation to analyze mid- and higher-level claims across multiple jurisdictions (MI, TX, IN, IL, OH). The role focuses on determining benefits, managing subrogation, and negotiating settlements within company standards.

Ideal candidates will have a Bachelor's degree and at least 4 years of claims management experience, with licensing required in their home state. Sedgwick offers flexible schedules and a comprehensive benefits package.