Remote Workers' Comp Claims Adjuster – Growth & Impact

Sedgwick Claims Management Services Ltd; Texas; Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development

Job summary

Sedgwick Claims Management Services is seeking a claims professional to adjudicate mid- to high-level workers compensation claims, determine benefits, and manage subrogation and settlements. The role emphasizes accurate documentation, return-to-work coordination, and client communication.

The ideal candidate has a 4-year claims management background, a bachelor’s degree, and TX licensing with knowledge of TX, MN, and MI jurisdictions. Flexible schedule and benefits are available.

Qualifications

• Bachelor's degree preferred.
• Four (4) years of claims management experience.
• Jurisdiction Knowledge: TX, MN, MI.
• Licensing: TX.

Responsibilities

• Analyze mid- and higher-level workers compensation claims to determine benefits due and adjudicate within company standards.
• Develop and manage claims action plans, coordinate return-to-work, and approve payments.
• Process assigned claims, determine benefits, and manage action plans.
• Manage subrogation and negotiate settlements.
• Communicate claim action with claimant and client.
• Ensure proper documentation and accurate claims coding.

Education

Bachelor's degree

Job description

Sedgwick Claims Management Services is seeking a claims professional to adjudicate mid- to high-level workers compensation claims, determine benefits, and manage subrogation and settlements. The role emphasizes accurate documentation, return-to-work coordination, and client communication.

The ideal candidate has a 4-year claims management background, a bachelor’s degree, and TX licensing with knowledge of TX, MN, and MI jurisdictions. Flexible schedule and benefits are available.