Compensation Claims Analyst

4 days ago


Lake Mary, Florida, United States Sedgwick Full time
Job Overview

We are seeking a skilled Compensation Claims Analyst to join our team at Sedgwick. As a key member of our staff, you will play a crucial role in analyzing complex workers' compensation claims to determine benefits due.

About the Role

The successful candidate will have five years of experience in claims management or an equivalent combination of education and experience. A bachelor's degree from an accredited college or university is preferred, along with professional certification relevant to the line of business.

Key Responsibilities
  1. Analyze and process complex workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
  2. Negotiate settlement of claims within designated authority.
  3. Calculate and assign timely and appropriate reserves to claims; manage reserve adequacy throughout the life of the claim.
  4. Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle claims within designated authority level.
  5. Prepare necessary state filings within statutory limits.


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