Claims Representative – Workers Compensation

Sedgwick

Claims Representative processing low level workers compensation claims for Sedgwick. Determining benefits due and ensuring ongoing adjudication of claims within company standards.

Posted 6/23/2026full-timeRemote • Alaska • 🇺🇸 United StatesJuniorMid-Level💰 $51,781 - $65,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

claims managementworkers compensation claims processingadjudication of claimsnegotiation of settlementsaction plan developmentlong term indemnity claimscompensability determinationclaim payment approval

Certifications & Qualifications

professional certification

Industry Keywords

subrogationreturn-to-work effortscompany standardsindustry best practices

About the role

Key responsibilities & impact

To process low 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 with general supervision.
Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims.
Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.

Requirements

What you’ll need

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

Benefits

Comp & perks

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