Remote Workers’ Compensation Claims Adjuster

Sedgwick; Dayton (OH); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and promotional增长

Job summary

Sedgwick is seeking a Claims Adjuster - Workers' Compensation to analyze mid- and high-level workers' compensation claims and determine benefits due. This remote role supports jurisdictions including MI, TX, IN, IL and OH, with licensing required in the home state.

You'll adjudicate claims, manage action plans, coordinate return-to-work, approve payments, and pursue subrogation when applicable. A Bachelor's degree and at least four years of claims management experience are preferred.

Qualifications

• Bachelor's degree preferred
• Four years of claims management experience or equivalent
• Jurisdiction knowledge: MI, TX, IN, IL, OH
• Home state licensing required

Responsibilities

• Manages workers compensation claims determining compensability and benefits due; monitors reserve accuracy and files state documents.
• Develops and manages claims action plans to resolution; coordinates return-to-work efforts and approves payments.
• Approves and processes assigned claims; determines benefits due and manages actions per contract.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim actions with claimants and clients.
• Ensures claim files are properly documented and coded.

Skills

Analytical mindset

Communication skills

Claims management

Jurisdiction knowledge

Education

Bachelor's degree

Job description

Sedgwick is seeking a Claims Adjuster - Workers' Compensation to analyze mid- and high-level workers' compensation claims and determine benefits due. This remote role supports jurisdictions including MI, TX, IN, IL and OH, with licensing required in the home state.

You'll adjudicate claims, manage action plans, coordinate return-to-work, approve payments, and pursue subrogation when applicable. A Bachelor's degree and at least four years of claims management experience are preferred.