Remote Workers’ Compensation Claims Specialist

Sedgwick Claims Management Services Ltd; Dublin (OH); Remote; USD 55,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

Referral incentive program

Job summary

Sedgwick is seeking a Workers Compensation Claims Representative to analyze Lost-Time claims for clients in OH and IN, with flexible work arrangements. You will adjudicate benefits, gather information, and determine exposure to ensure accuracy and timely resolutions.

Ideal candidates bring 3+ years in claims management, knowledge of Ohio and Indiana jurisdictions, and a proactive, client-focused approach in a busy, hybrid/remote environment.

Qualifications

• 3 years of claims management experience or equivalent.
• Knowledge of Ohio & Indiana jurisdictions.
• Indiana licensing preferred but not required.

Responsibilities

• Analyze Lost-Time claims to determine benefits due and adjudicate timely.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimant and client.
• Report claims to excess carrier and respond to directions.

Skills

Claims management

Jurisdiction knowledge

Negotiation

Education

High school diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Workers Compensation Claims Representative to analyze Lost-Time claims for clients in OH and IN, with flexible work arrangements. You will adjudicate benefits, gather information, and determine exposure to ensure accuracy and timely resolutions.

Ideal candidates bring 3+ years in claims management, knowledge of Ohio and Indiana jurisdictions, and a proactive, client-focused approach in a busy, hybrid/remote environment.