Claims Adjuster – Workers' Comp, NC/SC/VA Exp Needed
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: North Carolina • South Carolina • United States
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About the role
- To analyze mid- and higher-level workers compensation claims to determine benefits due.
- Ensure ongoing adjudication of claims within company standards and industry best practices.
- Identify subrogation of claims and negotiate settlements.
- Develop and manage workers compensation claims' action plans to resolution.
- Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.
- Communicate claim action with claimant and client.
- Ensure claim files are properly documented and claims coding is correct.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- 3-4 years of Workers Compensation claims management experience or equivalent combination of education and experience required.
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementadjudicationnegotiationclaims codingaction planssettlementsbenefits determinationdocumentation
Soft Skills
communication