Workers Compensation Claims Representative

Sedgwick

Claims Representative processing workers compensation claims for a global leader in risk management. Ensuring claims are adjudicated properly and benefits are determined accurately while adhering to company standards.

Posted 4/15/2026full-timeRemote • District of Columbia, Maryland, Virginia • 🇺🇸 United StatesJuniorMid-Level💰 $63,000 - $65,000 per yearWebsite

About the role

Key responsibilities & impact

To process low 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 with general supervision.
Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims.
Approves and processes assigned claims, determines benefits due and administers action plan pursuant to the claim or client contract.

Requirements

What you’ll need

Bachelor's degree from an accredited college or university preferred.
Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.
Jurisdiction Knowledge: MD, VA & DC Licensing: not required

Benefits

Comp & perks

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims managementadjudicationnegotiationcompensability determinationlong term indemnity claims processing