Claims Representative – Workers Compensation Training Program

🕒 August 14

🇺🇸 United States – Remote

💵 $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 14%

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

• Complete the designated claims professional training program • Complete a 4-week concept-based learning and professional training program followed by dedicated onboarding • Adjust workers' compensation claims under close supervision • Process and respond to incoming mail, emails, and claim-related documents • Communicate with injured workers, insureds/employers, medical providers, attorneys, and carrier representatives via phone, video conference, and email • Investigate claims by gathering medical records, employer reports, and witness statements • Investigate employer/employee relationships, policy verification, coverage, subrogation issues, and fraud indicators • Determine coverage, compensability, and appropriate benefits according to jurisdictional guidelines and carrier requirements • Document claims files and code claim activity • Prepare detailed reports with findings and recommendations • Administer indemnity and medical benefits while maintaining calendared claim actions and state compliance • Participate in virtual and/or in-person meetings, claim reviews, and business functions for training and claim discussions

🎯 Requirements

• High school diploma or GED required • Bachelor's degree preferred • 2 years of customer service experience preferred, or combination of education and experience • Strong communication skills • Empathy • Multitasking ability • Accountability • Structured thinking • Ambition • Agile learning ability • Team collaboration • Ability to think clearly and conceptually • Excellent judgment, troubleshooting, problem-solving, analysis, and discretion • Ability to handle work-related stress and multiple priorities • Ability to meet deadlines • Computer keyboarding ability • Hearing, vision, and talking abilities

🏖️ Benefits

• Career development and promotional growth opportunities • Medical, dental, and vision insurance • 401(k) and matching • Paid time off (PTO) • Disability insurance • Life insurance • Employee assistance program • Flexible spending account or health savings account • Additional voluntary benefits • Reasonable accommodations • Mentor and manager support during training and onboarding