Remote Workers' Compensation Claims Adjuster

Sedgwick; Chicago (IL); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Agile environment

Career development and growth

Comprehensive benefits (medical,Dental

Vision, 401K on day one

Job summary

Sedgwick is seeking a Claims Adjuster - Workers' Compensation to adjudicate mid-to-high level workers' comp claims within a remote, national framework. You’ll determine benefits due, manage settlement discussions, and collaborate with clients to resolve complex cases.

Ideal candidates have a bachelor’s degree, four years of claims experience, and licenses current for their home state. You’ll thrive in an agile, caring culture with strong growth opportunities and comprehensive benefits.

Qualifications

• Education: Bachelor's degree from an accredited college or university preferred.
• Experience: Four (4) years of claims management experience or equivalent combination of education and experience.
• Jurisdiction Knowledge: MI, TX, IN, IL, OH
• Licensing: Home State Required

Responsibilities

• Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develops and manages claims’ action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May process complex lifetime medical and/or defined period medical claims including state filings and decisions on treatments.

Education

Bachelor's degree

Job description

Sedgwick is seeking a Claims Adjuster - Workers' Compensation to adjudicate mid-to-high level workers' comp claims within a remote, national framework. You’ll determine benefits due, manage settlement discussions, and collaborate with clients to resolve complex cases.

Ideal candidates have a bachelor’s degree, four years of claims experience, and licenses current for their home state. You’ll thrive in an agile, caring culture with strong growth opportunities and comprehensive benefits.