See all roles

Workers Compensation Claims Representative | Dedicated Client | Remote to CA residents

Work from home Full-time role Hiring

About the position Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. As a Workers Compensation Claims Representative, you will analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. You will leverage your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. This role involves delivering innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. You will be part of a rapidly growing, industry-leading global company known for its excellence and customer service, and you will have access to a variety of professional development opportunities that help you perform your best work and grow your career. Responsibilities • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. , • Negotiating settlement of claims within designated authority. , • Communicating claim activity and processing with the claimant and the client. , • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. Requirements • 4 years of claims management experience or equivalent combination of education and experience required. , • High School Diploma or GED required. , • Bachelor's degree from an accredited college or university preferred. , • Professional certification as applicable to line of business preferred. Nice-to-haves • Experience in a remote work environment. , • Knowledge of Workers Compensation regulations and practices. Benefits • 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. Apply Job!

You might like

Remote Customer Service Specialist – ROI – Full Time/Entry Level/No Degree RQD

Work from home Full-time role

Fully Remote Account Executive/Closer (OTE up to $125K+/yr.) - Draw vs Commission

Work from home Full-time role

Financial Systems Analyst | 100% Remote | NO C2C | Upto $23/Hr

Work from home Full-time role

Apply Now - School Registered Nurse (RN) Job - Maternity Leave Coverage

Work from home Full-time role

State Farm – Claim Specialist – Work From Home – Columbia, MO

Work from home Full-time role

Licensed Health and Life Insurance Sales Agent (Commission only - No salary)

Work from home Full-time role

Internal Audit Professional (Hybrid - 3 Days in Office VA, TX, IL)

Work from home Full-time role

Investment Banking Analyst Program - Full-Time Y1 - Capital Call Financing- H/F/X

Work from home Full-time role

Content Creation And Social Media Growth Help For Christian Faith-Based Personal Brand

Work from home Full-time role

Remote Digital Strategy, Performance Marketing and Web Director - All TxO Locations

Work from home Full-time role

Software Engineer (GO)

Work from home Full-time role

Remote Customer Service Representative – Flexible Work‑From‑Home Positions, Technical Support & Virtual Call Center Opportunities at arenaflex

Work from home Full-time role

Experienced Full Stack Customer Service Representative – Remote Customer Experience Expert

Work from home Full-time role

Urgently Require Classroom Aide in Hillsboro, OR

Work from home Full-time role

Regional Sales Manager, Atlanta (Enterprise)

Work from home Full-time role

Experienced Customer Service Specialist – Delivering Exceptional Support and Building Lasting Customer Relationships at arenaflex

Work from home Full-time role

Director, Public Relations & Communications (Climate & Energy)

Work from home Full-time role

Investigator, Special Investigations Unit (Aetna SIU)

Work from home Full-time role

Senior Business Analyst Consultant - Remote

Work from home Full-time role

[Remote] Data Analyst - IntelliScript (Remote)

Work from home Full-time role