Remote Workers' Comp Claims Specialist

Sedgwick Claims Management Services Ltd; Blue Ash, Lake Forest (OH, IL); Hybrid; USD 50,000 - 55,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K on day one

PTO

Job summary

Sedgwick in Blue Ash, OH is seeking a Workers' Compensation Claims Representative to adjudicate complex claims for AZ & TN jurisdictions. You will analyze Lost-Time claims, determine benefits, and ensure timely adjudication per client requirements while supporting a collaborative, growth-oriented environment.

The role offers a hybrid work arrangement, comprehensive benefits, and ongoing professional development within a global leader in risk and claims management.

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+ years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: AZ & TN
• Licensing: Preferred

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 requests of directions in a professional and timely manner.

Skills

Claims management experience

Jurisdiction knowledge

Licensing

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick in Blue Ash, OH is seeking a Workers' Compensation Claims Representative to adjudicate complex claims for AZ & TN jurisdictions. You will analyze Lost-Time claims, determine benefits, and ensure timely adjudication per client requirements while supporting a collaborative, growth-oriented environment.

The role offers a hybrid work arrangement, comprehensive benefits, and ongoing professional development within a global leader in risk and claims management.