Claims Representative - Workers Compensation | Jurisdiction: Il, In, Ks, Mi, Mo, Ne, Wi And Mn | Licensing: Reciprocal License Preferred

Sedgwick Australia Pty Ltd

Workers compensation claims processing
Determine benefits due
Monitor reserve accuracy
Process low level workers compensation claims to determine benefits due, ensure ongoing adjudication within company standards, and identify subrogation and negotiate settlements

Job Summary

  • Process low level workers compensation claims to determine benefits due, ensure ongoing adjudication within company standards, and identify subrogation and negotiate settlements.
  • The role involves developing and coordinating action plans for claims resolution, return-to-work efforts, and approving claim payments.
  • Sedgwick offers a flexible work schedule, referral incentive program, career development opportunities, and a comprehensive benefits package including medical, dental, vision, and 401K on day one.

Matching Summary

Process low level workers compensation claims to determine benefits due, ensure ongoing adjudication within company standards, and identify subrogation and negotiate settlements.

Skills & Requirements

Must-have

  • Workers Compensation claims processing
  • Determine benefits due
  • Monitor reserve accuracy
  • Negotiate settlements
  • Communicate claim action

Nice-to-have

  • Embody caring counts model
  • Driven individuals
  • Professional client relationships
  • Agile environment

Key Requirements

  • 2 years claims management experience
  • High School Diploma or GED
  • Bachelor's degree preferred
  • Jurisdiction Knowledge IL, IN, KS, MI, MO, NE, WI and MN
  • Reciprocal license preferred

Work Rights

Not specified

Tailored Resume

Cover Letter