Remote Workers' Compensation Claims Adjuster

Sedgwick; San Juan (PR); A distancia; USD 60.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Descripción de la vacante

Sedgwick is hiring a Claims Adjuster for Workers Compensation, remote across MI, TX, IN, IL, OH. The role analyzes mid- to high-level workers' compensation claims to determine benefits due, manages subrogation, and negotiates settlements in an energetic, values-driven environment.

Qualified candidates will have a Bachelor’s degree and at least four years of claims management experience, with strong analytical and communication skills.

Formación

• Bachelor's degree preferred.
• Four years of claims management experience required.
• Jurisdiction knowledge: MI, TX, IN, IL, OH.
• Licensing: Home State required.

Responsabilidades

• Adjudicate mid- to high-level workers compensation claims and determine benefits due.
• Monitor reserve accuracy and file documentation with state agencies.
• Develop and manage action plans for claims resolution; coordinate return-to-work.
• Approve and process assigned claims and manage payments per contract.
• Oversee subrogation of claims and negotiate settlements.
• Communicate claim actions with claimants and clients.
• Ensure proper documentation and coding of claims files.

Conocimientos

Claims adjudication

Workers' compensation

Analytical thinking

Communication skills

Educación

Bachelor's degree

Descripción del empleo

Sedgwick is hiring a Claims Adjuster for Workers Compensation, remote across MI, TX, IN, IL, OH. The role analyzes mid- to high-level workers' compensation claims to determine benefits due, manages subrogation, and negotiates settlements in an energetic, values-driven environment.

Qualified candidates will have a Bachelor’s degree and at least four years of claims management experience, with strong analytical and communication skills.