Remote Workers' Comp Claims Adjuster

Sedgwick; Phoenix (AZ); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Referral incentive program

Flexible work schedule

Career development opportunities

Comprehensive benefits including 401k

Job summary

Sedgwick is seeking a Claims Adjuster specialized in Workers’ Compensation for remote jurisdiction coverage (MI, TX, IN, IL, OH). The role involves analyzing mid- to high-level claims, determining benefits, and pursuing subrogation when applicable. A home-state licensing requirement applies, with four years of claims management experience preferred.

The position offers a flexible work setup, comprehensive benefits, and opportunities for growth within a global leader in risk and claims management.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Four (4) years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: MI, TX, IN, IL, OH.
• Licensing: Home State Required.

Responsibilities

• Analyzes mid- and higher-level workers compensation claims to determine benefits due.
• Ensures adjudication aligns with company standards and industry best practices.
• Identifies subrogation opportunities and negotiates settlements.
• Manages claim communications with claimants and clients.
• Maintains accurate documentation and coding in claims files.

Skills

Claims adjudication

Education

Bachelor's degree

Licensing: Home State Required

Job description

Sedgwick is seeking a Claims Adjuster specialized in Workers’ Compensation for remote jurisdiction coverage (MI, TX, IN, IL, OH). The role involves analyzing mid- to high-level claims, determining benefits, and pursuing subrogation when applicable. A home-state licensing requirement applies, with four years of claims management experience preferred.

The position offers a flexible work setup, comprehensive benefits, and opportunities for growth within a global leader in risk and claims management.