Workers Compensation Claims Representative – Medical Only, VA Jurisdiction

🔥 0 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $45k - $60k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Process low-level medical-only Workers Compensation claims for a dedicated client • Determine benefits due and ensure ongoing adjudication within company standards and industry best practices • Identify subrogation claims and negotiate settlements with general supervision • Analyze and process claims through action plans to achieve appropriate and timely resolution • Investigate claims and gather information to determine claim exposure • Negotiate claim settlements within designated authority • Communicate claim activity and processing with claimants and clients • Report claims to the excess carrier • Respond to requests for directions professionally and promptly • Collaborate within Sedgwick’s global network of experts and deliver customer-facing solutions

🎯 Requirements

• 2 years of claims management experience or equivalent combination of education and experience required • 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 • Knowledge of the VA jurisdiction • Ability to process low-level medical-only workers compensation claims • Ability to investigate claims and gather information to determine claim exposure • Ability to negotiate settlements within designated authority • Ability to communicate claim activity and processing with claimants and clients • Ability to report claims to the excess carrier and respond to requests for directions • Must meet applicable work authorization and legal requirements

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Opportunity to work in an agile environment • Career development and promotional growth opportunities • Medical, dental, and vision benefits on day one • 401K and matching • PTO • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Flexibility and autonomy in daily work, location, and career path • Professional development opportunities