About The Position
By joining Sedgwick, you'll be part of a global industry leader in risk and claims administration, helping clients navigate the unexpected. The company, with over 33,000 colleagues and 10,000 clients across 80 countries, provides expertise and advanced AI-enabled technology for solutions in claims administration, loss adjusting, benefits administration, and product recall. This role involves analyzing Workers Compensation Lost-Time claims for valued clients to determine benefits due, ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. The ideal candidate will embody Sedgwick's 'caring counts' model and core values, including empathy, accountability, collaboration, growth, and inclusion. The position offers opportunities for professional development, flexibility, autonomy in daily work, location, and career path, along with diverse and comprehensive benefits.
Requirements
- 5 years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required.
- MD, VA & DC Jurisdictional Knowledge.
- MD, VA & DC Licensing: preferred; will have to obtain post-hire - Sedgwick-funded.
Nice To Haves
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
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.
- 401k and matching.
- PTO.
- Disability and life insurance.
- Employee assistance.
- Flexible spending or health savings account.
- Other additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
Number of Employees
251-500 employees
