Talent.com
No longer accepting applications
Claims Adjuster - Workers Compensation - Telecommute CA

Claims Adjuster - Workers Compensation - Telecommute CA

SedgwickWinston Salem, NC, US
5 days ago
Job type
  • Full-time
Job description

Claims Adjuster - Workers Compensation - Telecommute CA

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

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?

  • 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? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Primary purpose of the role :

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; and to identify subrogation of claims and negotiate settlements.

Essential responsibilities may include :

  • 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.
  • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
  • Manages 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 complex 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.
  • Additional functions and responsibilities :

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.
  • Qualifications & Licensing :

    Education & Experience :

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

    Experience :

    Four (4) years of claims management experience or equivalent combination of education and experience required.

    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.

    Create a job alert for this search

    Claim Adjuster • Winston Salem, NC, US

    Related jobs
    • Promoted
    Delivery Driver - Sign Up and Start Earning

    Delivery Driver - Sign Up and Start Earning

    DoorDashMt. Airy, NC, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 12 days ago
    • Promoted
    Flexible $ : Earn At Least $1920 For Your First 151 Trips, Guaranteed.

    Flexible $ : Earn At Least $1920 For Your First 151 Trips, Guaranteed.

    UberHarmony, NC, US
    Full-time +1
    Earn at least $1920 driving with Uber when you complete your first 151 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 8 days ago
    • Promoted
    Claims Adjuster Trainee - National General

    Claims Adjuster Trainee - National General

    Allstate InsuranceWinston Salem, NC, United States
    Full-time
    National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident an...Show moreLast updated: 30+ days ago
    • Promoted
    Part-time gig : Earn at least $1920 for your first 151 trips, guaranteed.

    Part-time gig : Earn at least $1920 for your first 151 trips, guaranteed.

    UberSalisbury, NC, US
    Full-time +1
    Earn at least $1920 driving with Uber when you complete your first 151 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 8 days ago
    • Promoted
    Quick Earnings : Earn At Least $1920 For Your First 151 Trips, Guaranteed.

    Quick Earnings : Earn At Least $1920 For Your First 151 Trips, Guaranteed.

    UberSalisbury, NC, US
    Full-time +1
    Earn at least $1920 driving with Uber when you complete your first 151 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 8 days ago
    • Promoted
    Side gig : Earn at least $1920 in your first 151 trips driving, guaranteed.

    Side gig : Earn at least $1920 in your first 151 trips driving, guaranteed.

    UberHarmony, NC, US
    Full-time +1
    Earn at least $1920 driving with Uber when you complete your first 151 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 8 days ago
    • Promoted
    Dashers - Sign Up and Start Earning

    Dashers - Sign Up and Start Earning

    DoorDashMooresville, NC, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 10 days ago
    • Promoted
    Driver - Flexible hours. Instant Pay.

    Driver - Flexible hours. Instant Pay.

    UberHarmony, NC, US
    Full-time +1
    Driving with Uber is an alternative to a part-time or full-time job and can get you earning cash on the road quickly.Driving with Uber allows you to earn quick cash while maintaining the flexibilit...Show moreLast updated: 30+ days ago
    • Promoted
    Traveling Retail Merchandiser - Overnight

    Traveling Retail Merchandiser - Overnight

    SAS Retail ServicesPilot Mountain, NC, US
    Full-time
    We want you to help us shape the future of shopping experiences and deliver on our purpose of connecting people with the products and experiences that enrich their lives. Joining SAS Retail Services...Show moreLast updated: 5 days ago
    • Promoted
    Flexible schedule - Earn at least $1920 by driving 151 trips with Uber

    Flexible schedule - Earn at least $1920 by driving 151 trips with Uber

    UberHarmony, NC, US
    Full-time +1
    Earn at least $1920 driving with Uber when you complete your first 151 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 8 days ago
    • Promoted
    Fast Pay - Earn at least $1920 in your first 151 trips, guaranteed.

    Fast Pay - Earn at least $1920 in your first 151 trips, guaranteed.

    UberHarmony, NC, US
    Full-time +1
    Earn at least $1920 driving with Uber when you complete your first 151 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 8 days ago
    • Promoted
    Drive with Uber : Earn at least $1920 when you complete 151 trips, guaranteed

    Drive with Uber : Earn at least $1920 when you complete 151 trips, guaranteed

    UberHarmony, NC, US
    Full-time +1
    Earn at least $1920 driving with Uber when you complete your first 151 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 8 days ago
    • Promoted
    Drive with Uber : Earn at least $1920 when you complete 151 trips.

    Drive with Uber : Earn at least $1920 when you complete 151 trips.

    UberHarmony, NC, US
    Full-time +1
    Earn at least $1920 driving with Uber when you complete your first 151 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 8 days ago
    • Promoted
    Litigation Claims ExaminerRemote Atlanta, Georgia, United States

    Litigation Claims ExaminerRemote Atlanta, Georgia, United States

    ReservWinston Salem, NC, US
    Full-time
    Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and ...Show moreLast updated: 7 days ago
    • Promoted
    Delivery Driver - Sign Up in Minutes

    Delivery Driver - Sign Up in Minutes

    DoorDashPilot Mountain, NC, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 10 days ago
    • Promoted
    Travel Store Merchandiser - Overnight

    Travel Store Merchandiser - Overnight

    SAS Retail ServicesToast, NC, US
    Full-time
    We want you to help us shape the future of shopping experiences and deliver on our purpose of connecting people with the products and experiences that enrich their lives. Joining SAS Retail Services...Show moreLast updated: 30+ days ago
    • Promoted
    Workers Compensation Claims Adjuster Senior, Indemnity

    Workers Compensation Claims Adjuster Senior, Indemnity

    CopperPoint Insurance CompaniesWinston Salem, NC, US
    Full-time
    Workers' Compensation Claims Adjuster Senior, Indemnity.CopperPoint has an exciting opportunity for a fully remote Workers' Compensation Claims Adjuster Senior, Indemnity.The ideal candidate must p...Show moreLast updated: 6 days ago
    • Promoted
    Senior Claims Specialist

    Senior Claims Specialist

    Risk StrategiesWinston Salem, NC, US
    Full-time
    As a Senior Claims Specialist, you will manage 3rd party claims, providing technical guidance, support analytics, and liaise with TPAs, legal, and clients in the claims review process.You will be s...Show moreLast updated: 6 days ago