Workers Compensation Claims Adjuster
3 weeks ago
About the Role
We are seeking a skilled Workers Compensation Claims Adjuster to join our team at Sedgwick. As a key member of our claims management team, you will be responsible for analyzing and managing workers compensation claims to ensure timely and accurate resolution.
Key Responsibilities
- Analyze and determine compensability and benefits due on long-term indemnity claims
- Manage claims action plans to resolution, coordinate return-to-work efforts, and approve claim payments
- Process assigned claims, determine benefits due, and manage action plans pursuant to the claim or client contract
- Manage subrogation of claims and negotiate settlements
- Communicate claim action with claimants and clients
- Ensure claim files are properly documented and claims coding is correct
Requirements
- Bachelor's degree from an accredited college or university preferred
- Four (4) years of claims management experience or equivalent combination of education and experience required
- Working knowledge of regulations, offsets, and deductions, disability duration, medical management practices, and Social Security and Medicare application procedure as applicable to line of business
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skill
- Good interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Service Expectations
About Sedgwick
Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. We are committed to delivering exceptional service and support to our clients and colleagues. If you are a motivated and detail-oriented individual with a passion for claims management, we encourage you to apply for this exciting opportunity.
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