Remote Workers' Compensation Claims Adjuster

Sedgwick Claims Management Services Ltd; Negaunee Township (MI); Hybrid; USD 52,000 - 78,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development

Job summary

Sedgwick is seeking a Claims Adjuster to analyze workers' compensation claims for our clients, determining benefits due while maintaining adjudication per client service requirements.

The ideal candidate has a minimum of 4 years' claims management experience, with licensing in NC and knowledge of NC/TN jurisdictions. We offer flexible schedules, growth opportunities, and a comprehensive benefits package.

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: 4 years of claims management experience or equivalent combination of education and experience required.
• Licensing: NC required
• Jurisdiction Knowledge: NC and TN

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.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Adjuster to analyze workers' compensation claims for our clients, determining benefits due while maintaining adjudication per client service requirements.

The ideal candidate has a minimum of 4 years' claims management experience, with licensing in NC and knowledge of NC/TN jurisdictions. We offer flexible schedules, growth opportunities, and a comprehensive benefits package.