About The Position
By joining Sedgwick, you'll be part of something truly meaningful, contributing to what their 33,000 colleagues do daily for people facing the unexpected globally. Sedgwick invites you to grow your career, experience their caring culture, and enjoy work-life balance, with no limit to what you can achieve. The company has been recognized as America’s Greatest Workplaces by Newsweek, a National Top Company Certified as a Great Place to Work®, and among Fortune Best Workplaces in Financial Services & Insurance. This role offers an opportunity to join a global industry leader, applying knowledge and experience to adjudicate complex customer claims within an energetic culture. You will deliver innovative customer-facing solutions to clients across virtually every industry, including some of the world’s most respected organizations. As part of a rapidly growing, industry-leading global company known for excellence and customer service, you can leverage Sedgwick’s broad network of experts for learning and sharing insights. The position offers professional development opportunities, flexibility, and autonomy in daily work, location, and career path, along with diverse and comprehensive benefits for mental, physical, financial, and professional needs. The primary purpose of the role is to analyze higher-level Workers Compensation lost-time claims for a Dedicated Client, determining benefits due and ensuring ongoing claim adjudication meets service expectations, industry best practices, and specific client requirements. Sedgwick seeks driven individuals embodying their caring counts model and core values: empathy, accountability, collaboration, growth, and inclusion. Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected with expertise and advanced AI-enabled technology in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Requirements
- 4 years of claims management experience or equivalent combination of education and experience.
- High School Diploma or GED.
- Jurisdiction Knowledge: OH, PA, VA, WV & DE Licensing.
Nice To Haves
- Bachelor's degree from an accredited college or university.
- Professional certification as applicable to line of business.
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.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
- A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
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What This Job Offers
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
251-500 employees
