Claims Representative - Workers Compensation (REMOTE -IL, MO, NJ, OK, LA, TN exp; Home State License REQUIRED)

Category: Customer Service

Responsibilities

• Processes low-level workers compensation claims determining compensability and benefits due on long-term indemnity claims.
• Monitors reserve accuracy and files necessary documentation with the state agency.
• Develops and coordinates low-level workers compensation claims' action plans to resolution.
• Manages return-to-work efforts and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plans pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

Requirements

• Bachelor's degree from an accredited college or university preferred.
• Licensing as required.
• Two (2) years of claims management experience.
• Prior handling of indemnity claims, some litigation experience.
• Experience in multiple jurisdictions including IL, MO, NJ, OK, LA, TN.
• Home State License REQUIRED.

About the Company

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.

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

Benefits

• 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.

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.