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Claims Representative - Workers Compensation - Remote

Posted 3 days ago
Customer Service
Full Time
USA

Overview

Join Sedgwick as a Claims Representative to process workers compensation claims and deliver innovative customer-facing solutions in a supportive and flexible work environment.

In Short

  • Process low level workers compensation claims.
  • Determine benefits due and ensure ongoing adjudication of claims.
  • Identify subrogation of claims and negotiate settlements.
  • Communicate claim actions with claimants and clients.
  • Document claims files accurately and ensure proper coding.
  • Develop action plans for claim resolutions.
  • Enjoy flexibility in work location and schedule.
  • Access diverse benefits including 401K from day one.
  • Participate in career development and promotional opportunities.
  • Work in a supportive culture that values empathy and collaboration.

Requirements

  • Bachelor's degree preferred.
  • Two years of Workers Compensation claims management experience required.
  • Strong negotiation and communication skills.
  • Ability to work independently and in a team environment.
  • Experience with claims coding and documentation.
  • Familiarity with medical claims processing is a plus.
  • Commitment to the company's core values.
  • Willingness to travel as required.
  • Empathy and accountability in handling claims.
  • Growth mindset and willingness to learn.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Comprehensive medical, dental, and vision benefits.
  • 401K on day one.
  • Career development opportunities.
  • Diverse and inclusive workplace culture.
  • Support for mental and physical well-being.
  • Access to professional development resources.
  • Recognition as a great place to work.
  • Opportunity to make a meaningful impact in the industry.

S.C.M.S

Sedgwick Claims Management Services

Sedgwick Claims Management Services Inc. is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. With a commitment to caring for people, Sedgwick prioritizes the well-being of its colleagues and clients, fostering a culture of support, flexibility, and inclusivity. The company employs over 30,000 professionals across 80 countries, who work diligently to help organizations manage claims, protect their brands, and minimize business interruptions. Sedgwick is dedicated to making a positive impact through its services, emphasizing the importance of diversity and the unique contributions of each individual within the organization.

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