Remote Workers' Compensation Claims Specialist

Sedgwick; Austin (TX); Remote; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career growth opportunities

Benefits package including medical,

Job summary

Sedgwick is seeking a remote Claims Adjuster for Workers’ Compensation to adjudicate mid- to high-level claims across jurisdictions including MI, TX, IN, IL, and OH. The role emphasizes risk assessment, settlement negotiation, and return-to-work coordination.

The ideal candidate brings four years of claims management experience, a relevant degree, and home-state licensing. Flexible schedule and comprehensive benefits support a balanced, inclusive workplace culture.

Qualifications

• Four (4) years of claims management experience or equivalent.
• Bachelor's degree from an accredited college or university preferred; professional certification as applicable.
• 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.
• 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.

Skills

Claims adjudication

Workers compensation

Subrogation

Return-to-work coordination

Education

Bachelor's degree

Job description

Sedgwick is seeking a remote Claims Adjuster for Workers’ Compensation to adjudicate mid- to high-level claims across jurisdictions including MI, TX, IN, IL, and OH. The role emphasizes risk assessment, settlement negotiation, and return-to-work coordination.

The ideal candidate brings four years of claims management experience, a relevant degree, and home-state licensing. Flexible schedule and comprehensive benefits support a balanced, inclusive workplace culture.