Remote Workers' Comp Claims Adjuster

Sedgwick; Topeka (KS); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Promotional growth opportunities

Comprehensive benefits

Job summary

Sedgwick, a global leader in risk and claims administration, seeks a Claims Adjuster - Workers Compensation to analyze mid- and higher-level claims in a remote setting. You will adjudicate benefits due, manage action plans, and coordinate subrogation and settlements in jurisdictions MI, TX, IN, IL, OH.

You'll work in an environment that values empathy, accountability, collaboration, growth, and inclusion, with flexible scheduling and a comprehensive benefits package.

Qualifications

• Bachelor's degree preferred; professional certification may be applicable.
• Four years of claims management experience or equivalent.
• Jurisdiction knowledge: MI, TX, IN, IL, OH.
• Home state licensing required.

Responsibilities

• Adjudicate workers compensation claims to determine compensability and benefits.
• Develop and manage action plans to resolution; coordinate return-to-work efforts.
• Approve claim payments and monitor reserve accuracy.
• Manage subrogation of claims and negotiate settlements.
• Communicate claim actions with claimants and clients.
• Ensure files are properly documented and coding is correct.
• Handle complex lifetime or defined-period medical claims as needed.

Skills

Analytical thinking

Attention to detail

Communication

Judgment under pressure

Education

Bachelor's degree

Tools

State filing systems

Job description

Sedgwick, a global leader in risk and claims administration, seeks a Claims Adjuster - Workers Compensation to analyze mid- and higher-level claims in a remote setting. You will adjudicate benefits due, manage action plans, and coordinate subrogation and settlements in jurisdictions MI, TX, IN, IL, OH.

You'll work in an environment that values empathy, accountability, collaboration, growth, and inclusion, with flexible scheduling and a comprehensive benefits package.