Claims Representative - Workers Compensation | Jurisdiction: Multi State | TX/FL/OK/LA License preferred (Remote/Hybrid) (Open)

Sedgwick • San Antonio, TX • 10h ago

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.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Representative - Workers Compensation | Jurisdiction: Multi State | TX/FL/OK/LA License preferred (Remote/Hybrid) (Open)

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

Apply your knowledge and experience to adjudicate complex customer claims in the @context of an energetic culture.

Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.

Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

Enjoy flexibility and autonomy in your daily work, your location, and your career path.

Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

ARE YOU AN IDEAL CANDIDATE? To process low level workers compensation claims 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.

OFFICE LOCATION: This position follows a hybrid work model for candidates residing within a 25-mile radius of a Sedgwick office. Employees in this range will be expected to commute to the office on a hybrid schedule. Candidates located outside of this radius will be considered for a fully remote arrangement.

PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.

Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.

Administers subrogation of claims and negotiates settlements.

Communicates claim action with claimant and client.

Ensures claim files are properly documented and claims coding is correct.

May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

Maintains professional client relationships.

Performs other duties as assigned.

Supports the organization's quality program(s).

Travels as required.

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred.

Experience

Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.

Jurisdiction: Multi State - 15 states

Licensing: Required - TX/FL/OK/LA preferred

TAKING CARE OF YOU

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.

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.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions 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. For more, see sedgwick.com

Similar Jobs

Claims Representative - Workers Compensation | Jurisdiction: Multi State | TX/FL/OK/LA License preferred (Remote/Hybrid)

Sedgwick • San Antonio, TX • 10h ago

Finance, Accounting & Banking

10h ago

Go to Apply

Claims Examiner - Workers Compensation (REMOTE- Home State License required)

Sedgwick • San Antonio, TX • 10h ago

Finance, Accounting & Banking

10h ago

Go to Apply

Resource Advisor (Finance Lead)

NANA Regional Corporation • San Antonio, TX • 17h ago

Finance, Accounting & Banking

The Resource Advisor (Finance Lead) is responsible for managing financial oversight for the program, ensuring adherence to funding thresholds and cost controls. This role proactively monitors spend plans, informs the Gov...

17h ago

Go to Apply

Revenue Operations Manager

SAS Shoemakers • San Antonio, TX • 1d ago

Finance, Accounting & Banking

Company Profile San Antonio Shoemakers (SAS), a San Antonio, Texas based privately held company, has been in business for over 40 years and has developed a reputation as a premier American manufacturer of high quality co...

1d ago

Go to Apply

Accountant II

iHeartMedia • San Antonio, TX • 1d ago

Finance, Accounting & Banking

iHeartMedia Current employees and contingent workers click here ( https://wd5.myworkday.com/iheartmedia/d/task/3005$4482.htmld ) to apply and search by the Job Posting Title. The audio revolution is here - and iHeart is...

1d ago

Go to Apply

GPS - Financial Accounting Advisory Services - State and Local - Senior Manager

EY • San Antonio, TX • 1d ago

Finance, Accounting & Banking

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better wor...

1d ago

Go to Apply

Corporate Accountant

Valero • San Antonio, TX • 2d ago

Finance, Accounting & Banking

Description: Valero is the best-in-class producer of essential fuels and products that are foundational to modern life. We invite you to join our ~10,000 employees to drive exceptional results for our company, the energy...

2d ago

Go to Apply

Accountant

Robert Half • San Antonio, TX • 2d ago

Finance, Accounting & Banking

Description Position Overview: We are seeking a detail-oriented and experienced Full-Charge Bookkeeper to oversee the day-to-day accounting operations of our organization. The ideal candidate will take full ownership of...

2d ago

Go to Apply

Lending Operations Manager

Wells Fargo • San Antonio, TX • 3d ago

Finance, Accounting & Banking

About this role: Wells Fargo is seeking a Lending Operations Manager within Commercial Banking Collateral Operations. In this role, you will: Manage the activities of a Loan Production, Loan Servicing, and Commercial or...

3d ago

Go to Apply

Commercial Banking Portfolio Coordinator

Wells Fargo • San Antonio, TX • 3d ago

Finance, Accounting & Banking

About this role: Wells Fargo is seeking a Commercial Banking Portfolio Coordinator within Commercial Banking Operations. Learn more about the career areas and lines of business at wellsfargojobs.com ( https://www.wellsfa...

3d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.