Workers Compensation Claims Adjuster

Overview By joining Sedgwick, you’ll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work‑life balance. Primary Purpose To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. Essential Functions and Responsibilities Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and coordinates low level workers compensation claims’ action plans to resolution, return‑to‑work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. Additional Functions and Responsibilities Performs other duties as assigned. Supports the organization’s quality program(s). Travels as required. Qualifications Bachelor’s degree from an accredited college or university preferred. Two (2) years of claims management experience or equivalent combination of education and experience, or successful completion of Claims Representative training required. Benefits Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. Medical, dental, vision, 401(k) on day one. Comprehensive benefits package including medical, dental, vision, 401(k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Starting pay range: $27‑29 per hour, depending on location and experience. Legal Statements As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. EEO Statement Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. #J-18808-Ljbffr