Workers Comp Consultant - Level 3

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. Here, there's no limit to what you can achieve.

As a Workers Comp Consultant - Level 3, you will analyse complex workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. You will also identify subrogation of claims and negotiate settlements.

Key responsibilities:

• Analyse and process complex workers' compensation claims
• Negotiate settlement of claims within designated authority
• Calculate and assign timely and appropriate reserves to claims
• Manage claim recoveries, including subrogation and Social Security and Medicare offsets
• Communicate claim activity and processing with the claimant and the client
• Ensure claim files are properly documented and claims coding is correct

Requirements:

• Bachelor's degree from an accredited college or university preferred
• Five years of claims management experience or equivalent combination of education and experience required
• Subject matter expert of appropriate insurance principles and laws for line-of-business handled
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organisational skills
• Good interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment

Benefits:

• Salary range: $65,000 - $80,000 CAD annually
• Compensation is determined based on experience, qualifications, and internal equity
• Sedgwick is committed to transparent and equitable pay practices