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Workers Compensation Claims Representative | Dedicated Client | Remote to CA residents

Remote, USA Full-time Posted 2025-04-16

About the position

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. As a Workers Compensation Claims Representative, you will analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. You will leverage your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. This role involves delivering innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. You will be part of a rapidly growing, industry-leading global company known for its excellence and customer service, and you will have access to a variety of professional development opportunities that help you perform your best work and grow your career.

Responsibilities
?? Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
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?? Negotiating settlement of claims within designated authority.
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?? Communicating claim activity and processing with the claimant and the client.
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?? Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Requirements
?? 4 years of claims management experience or equivalent combination of education and experience required.
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?? High School Diploma or GED required.
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?? Bachelor's degree from an accredited college or university preferred.
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?? Professional certification as applicable to line of business preferred.

Nice-to-haves
?? Experience in a remote work environment.
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?? Knowledge of Workers Compensation regulations and practices.

Benefits
?? Flexible work schedule.
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?? Referral incentive program.
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?? Opportunity to work in an agile environment.
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?? Career development and promotional growth opportunities.
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?? A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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