Remote Workers’ Comp Claims Adjuster

Sedgwick; Raleigh (NC); Remote; USD 55,000 - 71,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Adjuster - Workers Compensation to analyze and adjudicate claims for clients nationwide in a remote/hybrid setting. You will investigate, negotiate settlements, and communicate with claimants and clients while upholding service standards and regulatory requirements across jurisdictions FL, AZ and TN.

The role emphasizes timely decision-making, collaboration, and a commitment to flexible work arrangements with 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.

Skills

Analytical thinking

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification applicable to line of business

Job description

Sedgwick is seeking a Claims Adjuster - Workers Compensation to analyze and adjudicate claims for clients nationwide in a remote/hybrid setting. You will investigate, negotiate settlements, and communicate with claimants and clients while upholding service standards and regulatory requirements across jurisdictions FL, AZ and TN.

The role emphasizes timely decision-making, collaboration, and a commitment to flexible work arrangements with a comprehensive benefits package.