Workers Compensation Claims Adjuster | Remote

Lensa; Cincinnati (OH); Remote; USD 66,000 - 107,000; Full time

Job summary

Join a leading organization as a Workers Compensation Claims Adjuster where you'll be responsible for analyzing and resolving complex claims. This role offers flexibility and numerous professional development opportunities while being part of a company recognized for its positive workplace culture. If you have a strong background in claims management and want to make a meaningful impact, this position could be your next step in advancing your career.

Benefits

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits including medical, dental, and 401K

Qualifications

• Minimum 5 years of claims management experience required.
• Bachelor's degree preferred from an accredited college or university.
• Professional certification preferred.

Responsibilities

• Analyzing and processing claims to timely resolution.
• Negotiating settlement of claims.
• Communicating claim activity with claimants and clients.

Skills

Claims Management

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

Job description

2 days ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Sedgwick.

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Workers Compensation Claims Adjuster | Remote

Requires minimum 5 years of knowledge and experience in managing all aspects for insured and or self-insured WC claims for multiple states. Licenses required for the Southeast, Mid Atlantic, and Northeast stats and as needed based upon caseload. Full performance level claims adjuster with experience in settling claims, litigation and claim cost containment measures.

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

• Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
  
  

ARE YOU AN IDEAL CANDIDATE? To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Essential Responsiblities May Include

• 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.
  
  

Qualifications

Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.

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.

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
  
  

Work Environment Requirements For Entry-level Opportunities Include

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x

Catastrophe Property Adjuster *MULTIPLE REMOTE LOCATIONS*

Cincinnati, OH $66,625 - $106,427 5 days ago

Outside Property Claim Representative Trainee

Cincinnati, OH $48,700 - $80,400 1 month ago

Lead Analyst, Claims/ Regulatory Compliance - Marketplace

Covington, KY $77,969 - $155,508 1 week ago

Claims Property Senior Field Representative (Cincinnati/Dayton)

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.