Remote Workers' Comp Claims Specialist

Sedgwick; Augusta (ME); Hybrid; USD 50,000 - 69,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is hiring for a Claims Representative - Workers Compensation. This role analyzes workers' compensation claims to determine benefits due, ensuring adjudication aligns with service expectations and client requirements.

A hybrid/remote work setup is available depending on location, with licensing preferences including TX/FL or non-resident states. The ideal candidate will bring at least 2 years of claims management experience, a high school diploma or GED, and a bachelor’s degree is

Qualifications

• 2 years of claims management experience or equivalent combination of education and experience required.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyze and process workers' compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to directions in a professional and timely manner.

Skills

Claims processing

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is hiring for a Claims Representative - Workers Compensation. This role analyzes workers' compensation claims to determine benefits due, ensuring adjudication aligns with service expectations and client requirements.

A hybrid/remote work setup is available depending on location, with licensing preferences including TX/FL or non-resident states. The ideal candidate will bring at least 2 years of claims management experience, a high school diploma or GED, and a bachelor’s degree is