# Claims Adjuster - Workers Compensation

**Company**: Sedgwick
**Location**: Telecommuter AL
**Work arrangement**: remote
**Experience**: mid
**Job type**: full-time
**Salary**: $60,000.00-$85,000.00
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-AL/Claims-Adjuster---Workers-Compensation---Jurisdiction--TX--MN--MI----Licensing--TX-or-Home-State-required---Remote_R77892?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_bbebe9c1-6c0

## Description

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.

We're looking for a Claims Adjuster - Workers Compensation to analyze mid- and higher-level workers compensation claims to determine benefits due, ensure ongoing adjudication of claims within company standards and industry best practices, and identify subrogation of claims and negotiate settlements.

**Primary Purpose of the Role:** To analyze mid- and higher-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.

**Essential Responsibilities May Include:**

- Manages 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 manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.

- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

- Manages subrogation of claims and negotiates settlements.

- Communicates claim action with claimant and client.

- Ensures claim files are properly documented and claims coding is correct.

- May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

- Maintains professional client relationships.

**Qualifications:**

- Education and Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

- Experience: Four (4) years of claims management experience or equivalent combination of education and experience required.

- Jurisdiction Knowledge: TX, MN, MI

- Licensing: TX

**Taking Care of You:**

- Flexible work schedule.

- Referral incentive program.

- Opportunity to work in an agile environment.

- Career development and promotional growth opportunities.

- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $60,000.00-$85,000.00.

## Skills

### Required
- claims management
- workers compensation
- subrogation
- settlements
- claim documentation

### Nice to have
- professional certification
- bachelor's degree

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-AL/Claims-Adjuster---Workers-Compensation---Jurisdiction--TX--MN--MI----Licensing--TX-or-Home-State-required---Remote_R77892?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)