Claims Adjuster managing workers compensation claims at Sedgwick. Analyzing claims, determining benefits, and negotiating settlements in a hybrid work environment.
Responsibilities
Analyze mid- and higher-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
Manage workers compensation claims determining compensability and benefits due on long term indemnity claims
Develop and manage workers compensation claims' action plans to resolution
Coordinate return-to-work efforts
Approve claim payments
Communicate claim action with claimant and client
Ensure claim files are properly documented and claims coding is correct
Perform other duties as assigned.
Requirements
Bachelor's degree from an accredited college or university preferred
Four (4) years of claims management experience or equivalent combination of education and experience required
Benefits
Flexible Work Schedule
Referral Incentive Program
Opportunity to work from home
Career development and promotional growth opportunities
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1
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