Remote Workers' Comp Claims Specialist

Sedgwick; Columbus (OH); Hybrid; USD 50,000 - 69,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Comprehensive benefits on day one

Job summary

Sedgwick, a leading global claims administrator, seeks a Claims Representative for Workers' Compensation. You will analyze claims to determine benefits and adjudicate them in line with client service requirements, budgets, and timelines.

The role offers hybrid/remote work with location-based compensation considerations and a broad benefits package. A HS diploma is required; a Bachelor's degree is preferred, with professional licensing as applicable.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred; Certification as applicable to line of business.
• Experience: 2 years of claims management experience or equivalent.
• Licensing: TX/FL or non-resident state license preferred to support jurisdiction coverage.

Responsibilities

• Analyze and process Workers' Compensation claims to determine benefits and adjudicate within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carrier and respond to directions professionally.

Education

High School Diploma or GED

Bachelor's degree

Professional certification where applicable

Job description

Sedgwick, a leading global claims administrator, seeks a Claims Representative for Workers' Compensation. You will analyze claims to determine benefits and adjudicate them in line with client service requirements, budgets, and timelines.

The role offers hybrid/remote work with location-based compensation considerations and a broad benefits package. A HS diploma is required; a Bachelor's degree is preferred, with professional licensing as applicable.