Workers Compensation Claims Representative CO, UT & WY Jurisdictions

Workers Compensation Claims Representative

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

This position is available in CO, UT, and WY jurisdictions. It's a hybrid schedule if within reasonable commutable distance to a Sedgwick office (3 days work from home) and open to remote.

The primary purpose of the role is to process low level Workers Compensation claims for a dedicated client to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.

Essential responsibilities may include 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.

Qualifications include: education & licensing with 2 years of claims management experience or equivalent combination of education and experience required. Medical only & lost-time experience with experience in other lines of insurance appropriate. High school diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licensing preferred; will have to obtain post-hire (Sedgwick-funded).

Taking care of you includes a flexible work schedule, referral incentive program, opportunity to work in an agile environment, career development and promotional growth opportunities, and a diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.