Workers’ Compensation Consultant – Level 2

🔥 14 hours ago

🇨🇦 Canada – Remote

💵 $55k - $60k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze mid- and high-level workers’ compensation claims to determine benefits payable • Ensure the ongoing adjudication of claims in accordance with company standards and industry best practices • Identify subrogation claims and negotiate settlements • Determine compensability and benefits payable for long-term indemnity claims • Monitor reserve accuracy and file required documentation with the applicable provincial or state agency • Develop and manage workers’ compensation claims action plans through resolution • Coordinate return-to-work efforts and approve claim payments • Approve and process assigned claims in accordance with the applicable claim or client contract • Communicate claim actions to claimants and clients • Ensure claim files are properly documented and claim coding is accurate • Process complex lifetime or defined-period medical claims, where applicable, including provincial/state and physician filings and treatment decisions • Maintain professional client relationships • Support the organization’s quality programs • Perform other assigned duties

🎯 Requirements

• Bachelor’s degree from an accredited college or university preferred • Four (4) years of claims management experience, or an equivalent combination of education and experience, required • Working knowledge of regulations, offsets and deductions, disability duration, medical management practices, and Social Security and Medicare application procedures applicable to the line of business • Excellent oral and written communication skills, including presentation skills • Proficiency with computers, including Microsoft Office products • Strong analytical and interpretive skills • Strong organizational skills • Good interpersonal skills • Excellent negotiation skills • Ability to work effectively in a team environment • Ability to meet or exceed service expectations • Ability to travel as required

🏖️ Benefits

• Work-life balance • Inclusive, barrier-free recruitment and selection processes • Accommodation support during recruitment, if required