Jobs · Finance

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

Similar jobs