Insurance Manager leading the administration and delivery of insurance functions at Torbay Council. Engaging with departments to ensure effective insurance services and advice.
About the role
- 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
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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