Remote Workers' Comp Claims Adjuster

Sedgwick; Montpelier (VT); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development opportunities

Medical/dental/vision insurance

Job summary

Sedgwick is seeking a Claims Adjuster for Workers' Compensation to adjudicate mid- to high-level claims from a remote location across MI, TX, IN, IL and OH. You’ll work within established standards to determine benefits, monitor reserves, and coordinate settlements with clients and claimants.

We value analytical thinkers who communicate clearly, maintain thorough documentation, and support return-to-work strategies while upholding Sedgwick’s caring culture and responsive service model.

Qualifications

• Bachelor's degree preferred.
• Four (4) years of claims management experience required.
• Jurisdiction Knowledge: MI, TX, IN, IL, OH.
• Licensing: Home State Required.

Responsibilities

• Manages workers compensation claims determining compensability and benefits due on long term indemnity claims.
• 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 coded.
• May handle complex lifetime medical claims with physician filings.

Skills

Claims adjudication

Workers' compensation

Analytical thinking

Communication

Education

Bachelor's degree

Job description

Sedgwick is seeking a Claims Adjuster for Workers' Compensation to adjudicate mid- to high-level claims from a remote location across MI, TX, IN, IL and OH. You’ll work within established standards to determine benefits, monitor reserves, and coordinate settlements with clients and claimants.

We value analytical thinkers who communicate clearly, maintain thorough documentation, and support return-to-work strategies while upholding Sedgwick’s caring culture and responsive service model.