Sedgwick is hiring: REMOTE POSITION / CLAIMS PROCESSOR in Juneau

Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: Multi State | TX/FL/OK/LA License preferred (Remote/Hybrid) (Open) 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? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + 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. + Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. To process low 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 with general supervision. OFFICE LOCATION: This position follows a hybrid work model for candidates residing within a 25-mile radius of a Sedgwick office. Employees in this range will be expected to commute to the office on a hybrid schedule. Candidates located outside of this radius will be considered for a fully remote arrangement. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Processes low level 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 coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. + Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. + Administers 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 low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. + Supports the organization's quality program(s). + Travels as required. Bachelor's degree from an accredited college or university preferred. Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required. Flexible work schedule. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. Apply tot his job Apply To this Job