Claims Adjuster - Workers Compensation | Jurisdiction: MI, TX, IN, IL, OH | Licensing: Required - Remote
Sedgwick · Alabama, United States · 3 mo ago
RemoteRemoteFinance$60k–$75k/yrFull-time
About the role
Join Sedgwick, a global industry leader, where you can apply your expertise to adjudicate complex customer claims in the context of an energetic culture.
Responsibilities
- Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
- Develops and manages workers compensation 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.
- Safeguards claim files and ensures claims coding is correct.
- Maintains professional client relationships.
Qualifications
- Education and Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
- Experience: Four (4) years of claims management experience or equivalent combination of education and experience required.
- Jurisdiction Knowledge: MI, TX, IN, IL, OH.
- Licensing: Home State Required.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one.
Pay
$60,000.00 - $75,000.00
Schedule
Flexible