Remote Workers’ Comp Claims Specialist

Sedgwick; Toledo (OH); Hybrid; USD 55,000 - 65,000; Full time

Benefits offered by this job

Flexible schedule

Career development

Medical benefits

401k matching

Job summary

Sedgwick in Dublin, OH is seeking a Workers Compensation Claims Representative to analyze Lost-Time claims for clients primarily in Indiana with flexibility for remote work. This full-time role involves adjudicating complex claims, delivering client-focused solutions, and leveraging Sedgwick's global network to learn and contribute.

The position offers professional development and a supportive environment. Ideal candidates have 3+ years in claims management, a high school diploma (Bachelor's

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: 3 years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: Primarily Indiana; some OH
• Licensing: Indiana preferred; not required

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 adjudication

Analytical thinking

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick in Dublin, OH is seeking a Workers Compensation Claims Representative to analyze Lost-Time claims for clients primarily in Indiana with flexibility for remote work. This full-time role involves adjudicating complex claims, delivering client-focused solutions, and leveraging Sedgwick's global network to learn and contribute.

The position offers professional development and a supportive environment. Ideal candidates have 3+ years in claims management, a high school diploma (Bachelor's