Workers Compensation Claims Representative | Jurisdictions: OH

Sedgwick•Dublin, OH

5d•$65,000 - $70,000•Hybrid

About The Position

Analyze Ohio lost-time workers’ compensation claims on behalf of clients to determine benefits due. Ensure claims are adjudicated on an ongoing basis in accordance with service expectations, industry best practices, and client-specific service requirements. The role involves investigating claims, determining exposure, developing action plans, negotiating settlements within assigned authority, and communicating claim activity to claimants and clients. It also includes reporting claims to excess carriers and responding promptly and professionally to their requests for direction. The position is hybrid for employees within 25 miles of Sedgwick’s Seven Hills or Dublin, Ohio offices, and remote for employees outside commuting distance. Sedgwick describes a caring, collaborative, and inclusive culture, with flexibility, autonomy, professional development, and career-growth opportunities.

Requirements

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

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 through well-developed action plans toward appropriate and timely resolution.
Investigate claims and gather information to determine claim exposure.
Negotiate claim settlements within designated authority.
Communicate claim activity and processing with claimants and clients.
Report claims to the excess carrier and respond to requests for direction professionally and promptly.