Workers Compensation Claims Representative – Multiple Jurisdictions & Licensing Required

Sedgwick

Workers' Compensation Claims Representative managing a caseload of claims and ensuring compliance with state laws. Ideal for candidates with strong claims handling experience and effective communication skills.

Posted 6/19/2026full-timeRemote • Louisiana, Montana, New Jersey, North Carolina, Tennessee • 🇺🇸 United StatesJunior💰 $42,000 - $55,000 per yearWebsite

About the role

Key responsibilities & impact

Independently handle a capped caseload of workers' compensation claims, from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements.
Ensure compliance with multiple state workers' compensation laws, including timely filing of reports, adherence to benefit payment timelines, and compliance with statutory requirements.
Negotiate settlements of claims within designated authority to reach claim resolution.
Provide clear and effective communication with the claimant and client.
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
Maintain accurate and comprehensive records in the claims management system, documenting all actions, decisions, and correspondence related to each claim.

Requirements

What you’ll need

Minimum of (1) year of workers' compensation claims handling experience.
Experience with Medical Only & Minor Lost-Time
High school diploma or equivalent; a college degree or relevant certifications including licensing.
Licensed with strong understanding of workers' compensation claims processes, policies, and legal requirements.
Excellent written and verbal communication skills.
Strong analytical skills with attention to detail and accuracy.
Ability to manage multiple claims simultaneously and prioritize workload effectively.
Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook).
Ability to negotiate settlements and resolve claims disputes effectively.

Benefits

Comp & perks

Referral incentive program
Opportunity to work in remote environment
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

workers' compensation claims handlingMedical Only claimsMinor Lost-Time claimsclaims managementnegotiationregulatory compliancerecord keepinganalytical skillsattention to detailsettlement resolution

Soft Skills

communication skillswritten communicationverbal communicationtime managementprioritizationproblem-solving

Certifications

high school diplomacollege degreerelevant certificationslicensing