Claims Representative – Workers Compensation Training Program

Sedgwick

Entry-level workers’ compensation claims trainee investigating and administering claims for Sedgwick, a global risk and claims administration partner. Completing structured training before handling claims under supervision.

Posted 8/17/2026full-time🇺🇸 United StatesJuniorMid-Level💰 $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong communication and investigative skills in managing workers' compensation claims, ensuring compliance with jurisdictional guidelines and carrier requirements. Capable of multitasking and maintaining detailed documentation while providing empathetic support to injured workers and stakeholders.

Highest-signal resume keywords

Claims AdjustmentCustomer Service ExperienceStrong Communication SkillsProblem-SolvingDocumentation and Reporting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingInvestigation of ClaimsPolicy VerificationCoding Claim ActivityIndemnity and Medical Claim Administration

Soft Skills

EmpathyAccountabilityStructured ThinkingAgile Learning AbilityTeam Collaboration

Tools & Technologies

Computer Keyboarding

Industry Keywords

Workers' CompensationClaims Professional TrainingJurisdictional GuidelinesFraud IndicatorsSubrogation Issues

About the role

Key responsibilities & impact

Attend and complete the designated claims professional training program
Adjust various levels of workers’ compensation claims under close supervision
Process and respond to incoming mail, emails, and claim-related documents according to claim status
Communicate with injured workers, insureds/employers, medical providers, attorneys, and carrier representatives through telephone, video conference, and email
Investigate new and existing claims by gathering medical records, employer reports, and witness statements
Investigate employer/employee relationships, policy verification, coverage, potential subrogation issues, and fraud indicators
Determine coverage, compensability, and appropriate benefits according to jurisdictional guidelines and carrier program requirements
Document claims files and properly code claim activity
Prepare detailed reports documenting findings and recommendations
Administer indemnity and medical claim benefits while maintaining calendared claim-related action items and state compliance
Participate in virtual and/or in-person meetings, claim reviews, and business functions for training and claim discussions
Complete a 4-week training program, dedicated onboarding, and on-the-job claims adjusting phase with mentor and manager guidance

Requirements

What you’ll need

High School Diploma or GED required
Bachelor's degree preferred
2 years of customer service experience and/or combination of education and experience
Strong communication skills
Empathy
Ability to multitask
Accountability
Structured thinking
Ambition
Agile learning ability
Team collaboration
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem-solving, analysis, and discretion
Ability to handle work-related stress
Ability to handle multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding ability
Hearing, vision, and talking abilities

Benefits

Comp & perks

Career development and promotional growth opportunities through increasing responsibilities
Medical, dental, and vision coverage
401k and matching
PTO
Disability insurance
Life insurance
Employee assistance
Flexible spending or health savings account
Additional voluntary benefits
Assigned mentor and manager support
Comprehensive 4-week concept-based learning and professional training program
Dedicated onboarding experience