Remote Workers' Comp Claims Adjuster — Growth & Flexibility

Sedgwick

United States

Hybrid

USD 70,000 - 85,000

Full time

12 days ago

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Benefits offered by this job

Flexible schedule
Referral incentives
Agile environment
Career development
Comprehensive benefits: medical, 401K,
Dental and vision coverage

Job summary

Sedgwick is seeking a Claims Adjuster - Workers Compensation in the United States to analyze and adjudicate mid- to high-level workers' compensation claims. You will determine benefits due, negotiate settlements, and communicate with claimants and clients within established guidelines.

The ideal candidate has a High School Diploma or GED (Bachelor's preferred), 4 years of claims-management experience, and strong analytical, negotiation, and customer-service skills.

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.

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 requestsofdirections in a professional and timely manner.

Skills

Claims analysis
Negotiation
Communication
Customer service

Education

High School Diploma or GED
Bachelor’s degree preferred

Job description

Sedgwick is seeking a Claims Adjuster - Workers Compensation in the United States to analyze and adjudicate mid- to high-level workers' compensation claims. You will determine benefits due, negotiate settlements, and communicate with claimants and clients within established guidelines.

The ideal candidate has a High School Diploma or GED (Bachelor's preferred), 4 years of claims-management experience, and strong analytical, negotiation, and customer-service skills.

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