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Sedgwick
Sedgwick
H1B Visa SponsorConstructionConsultingHealthcare
Sedgwick provides technology-enabled risk, benefits, and integrated business solutions for organizations worldwide. Its work includes administering accident, health, disability, unemployment compensation, and liability claims, alongside building consulting, forensic accounting, forensic engineering, property restoration, brand protection, and loss prevention services. Sedgwick supports clients across industries including construction, consulting, healthcare, agriculture, and environmental services, with a stated focus on diversity, equity, inclusion, and environmental, social, and governance practices.
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Workers' Compensation Claims Representative – Ohio and Indiana

Manage lost-time workers' compensation claims for Sedgwick's insurance clients. Handle Ohio and Indiana claims, including investigations, settlements, adjudication, and client communications.

USUnited StatesOHOhio
$55,000 – $65,000 / year
HybridFull-timeMiddleSeniorEnglish RequiredClaims Specialist

Description

  • Review lost-time claims for clients and determine applicable benefits
  • Adjudicate claims continuously in line with service standards, industry practices, and client requirements
  • Advance claims through action plans toward timely, appropriate resolution
  • Investigate claims and collect information to assess exposure
  • Negotiate settlements within assigned authority
  • Update claimants and clients on claim activity and processing
  • Submit claims reports to excess carriers
  • Address direction requests promptly and professionally

Requirements

  • High school diploma or GED is required
  • At least three years of claims management experience, or an equivalent combination of education and experience, is required
  • Knowledge of and experience with workers' compensation
  • Knowledge of Ohio and Indiana jurisdictional requirements
  • Indiana licensure is preferred but not required
  • A bachelor's degree from an accredited college or university is preferred
  • Professional certification relevant to the line of business is preferred
  • Ability to analyze and process lost-time claims
  • Ability to investigate claims and collect information to assess exposure
  • Ability to negotiate settlements within assigned authority
  • Ability to communicate claim activity and processing to claimants and clients
  • Ability to report claims to excess carriers and respond to direction requests
  • Clear, conceptual thinking skills
  • Strong judgment, troubleshooting, problem-solving, analytical, and discretionary skills
  • Ability to manage work-related stress and multiple priorities
  • Ability to meet deadlines
  • Computer keyboarding skills
  • Ability to hear, see, and speak

Benefits

  • Flexible scheduling
  • Employee referral incentive program
  • Agile work environment
  • Career development and advancement opportunities
  • Medical, dental, and vision insurance
  • 401(k) plan with company matching
  • Paid time off
  • Disability insurance
  • Life insurance
  • Employee assistance program
  • Flexible spending account or health savings account
  • Additional voluntary benefits
  • Remote work option for employees outside commuting distance of the Dublin, Ohio office

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