Claims Adjuster - WC

March 13

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Sedgwick

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Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

claims management • risk management • workers'​ compensation • disability • absence solutions

10,000+ employees

🏢 Enterprise

📋 Compliance

📋 Description

• 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 • Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract

🎯 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 • Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedures as applicable to line of business • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Good interpersonal skills • Excellent negotiation skills • Ability to work in a team environment • Ability to meet or exceed Service Expectations

🏖️ Benefits

• Flexibility and time for important things• Support for mental, physical, financial, and professional needs• Opportunities for skill sharpening and career growth• Work environment celebrating diversity and inclusion• Recognition as a great place to work