Workers Compensation Claims Representative | Jurisdictions: OH

Sedgwick • Seven Hills, OH

3d • $65,000 - $70,000 • Hybrid

About The Position

Sedgwick is hiring a Workers Compensation Claims Representative to analyze Ohio lost-time workers compensation claims for clients and determine benefits due. The role involves ongoing claim adjudication in accordance with service expectations, industry best practices, and client-specific requirements. The position is hybrid for employees within 25 miles of the Seven Hills or Dublin, Ohio offices, and remote for employees outside commuting distance.

Requirements

• High school diploma or GED.
• At least 3 years of claims management experience, or an equivalent combination of education and experience.

Nice To Haves

• Bachelor's degree from an accredited college or university.
• Professional certification applicable to the line of business.

Responsibilities

• Analyze and process claims using action plans to reach appropriate and timely resolutions.
• Investigate claims and gather information to determine exposure.
• Negotiate claim settlements within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to the excess carrier and respond professionally and promptly to requests for directions.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, and vision coverage.
• 401(k) and matching.
• Paid time off.
• Disability and life insurance.
• Employee assistance program.
• Flexible spending or health savings account.
• Additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED