Workers Compensation Claims Adjuster – MO, Lost-Time Experience, FL Jurisdiction, FL Licensing

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🐊 Florida, Louisiana, +3 more states – Remote

🐊 Florida – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote 🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

📋 Claims Specialist

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

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

• To analyze mid- and higher-level workers compensation claims to determine benefits due; • to ensure ongoing adjudication of claims within company standards and industry best practices; • to identify subrogation of claims and negotiate settlements. • Manages 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 manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred; • Home state license required. • One (1) years of claims management experience. • Prior handling of FL med only & indemnity claims. • Knowledge of FL Jurisdiction.

🏖️ Benefits

• 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.