Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone

About the role

Join Sedgwick, a global leader in workers' compensation, where you'll contribute to making a difference in people's lives. Our dedicated team of 33,000 colleagues works tirelessly to support those facing unexpected challenges. We offer a supportive and inclusive environment where you can grow your career, experience our caring culture, and enjoy a healthy work-life balance.

Responsibilities

• Independently handle a capped caseload of workers' compensation claims, from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements.
• Ensure compliance with multiple state workers' compensation laws, including timely filing of reports, adherence to benefit payment timelines, and compliance with statutory requirements.
• Negotiate settlements of claims within designated authority to reach claim resolution.
• Provide clear and effective communication with the claimant and client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
• Maintain accurate and comprehensive records in the claims management system, documenting all actions, decisions, and correspondence related to each claim.

Qualifications

• Minimum of (1) year of workers' compensation claims handling experience.
• Experience with Medical Only & Minor Lost-Time.
• High school diploma or equivalent; a college degree or relevant certifications including licensing.
• Licensed with strong understanding of workers' compensation claims processes, policies, and legal requirements.
• Excellent written and verbal communication skills.
• Strong analytical skills with attention to detail and accuracy.
• Able to manage multiple claims simultaneously and prioritize workload effectively.
• Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook).
• Able to negotiate settlements and resolve claims disputes effectively.

Jurisdictions

• DE, IL, LA, MO, NJ, OK, TN, TX

Licensing

• Home state required

Benefits

A diverse and comprehensive benefits offering including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Pay

The starting pay range for this role is (42,000 - 55,000) based on the jurisdiction noted in this job posting.

Schedule

We offer a remote working environment, allowing you to balance your career with your personal life.