Claims Adjuster – Workers Compensation, Med Only, Indemnity exp
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Illinois • Montana • United States
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About the role
- To analyze mid- and higher-level workers compensation claims to determine benefits due.
- To ensure ongoing adjudication of claims within company standards and industry best practices.
- To identify subrogation of claims and negotiate settlements.
- Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
- Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
Requirements
- Bachelor's degree from an accredited college or university preferred; Home state license required
- Four (4) years of claims management experience
- Prior handling of med only & indemnity claims, some litigation experience.
- Multiple jurisdictions including any of the following: IL, MO, NJ, OK, NJ, TN.
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 managementworkers compensation claimsadjudicationsubrogationnegotiationlong term indemnity claimsreserve accuracyaction plansreturn-to-work coordinationclaim payments
Soft Skills
communication
Certifications
Bachelor's degreeHome state license