Remote Workers' Comp Claims Associate

Sedgwick Claims Management Services Ltd; Raleigh (NC); Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional增长

Job summary

Sedgwick is hiring a Claims Associate - Workers' Compensation to analyze and adjudicate lower-level claims and support more complex cases as needed. This telecommuter-friendly role in Raleigh, NC offers a path for professional growth and involvement in a broad client base.

You will assess compensability, document claims, and maintain strong client relationships, with a focus on accuracy and timely processing in a collaborative environment.

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: 1 year of claims management experience or equivalent combination of education and experience required.

Responsibilities

• Analyze reported workers' compensation claims to determine benefits due and adjudicate claims.
• Assist other claims representatives and leads with larger or more complex claims as needed.
• Process claims determining compensability and benefits due; monitor reserve accuracy and file documentation with state agencies.
• Communicate claim actions with claimants, clients and medical contacts.
• Ensure claim files are correctly documented and claims coding is accurate.

Skills

Claims management

Education

High School Diploma or GED

Bachelor’s degree

Job description

Sedgwick is hiring a Claims Associate - Workers' Compensation to analyze and adjudicate lower-level claims and support more complex cases as needed. This telecommuter-friendly role in Raleigh, NC offers a path for professional growth and involvement in a broad client base.

You will assess compensability, document claims, and maintain strong client relationships, with a focus on accuracy and timely processing in a collaborative environment.