Sedgwick
Join Sedgwick and be a part of a meaningful journey, where our 33,000 colleagues support individuals around the world facing the unexpected. We invite you to enhance your career with us, embrace our compassionate culture, and achieve a satisfying work-life balance. At Sedgwick, your potential has no limits.
Recognized as one of America's Greatest Workplaces by Newsweek and certified as a Great Place to Work, Sedgwick is a global industry leader known for excellence and dedicated customer service.
Are you seeking a chance to contribute your innovative ideas to a leading global company? This role offers professional development opportunities to help you excel in your work and advance in your career.
Enjoy the flexibility and autonomy in your work and career path while accessing a wide range of comprehensive benefits to support your mental, physical, and financial well-being.
Ideal Candidates:
We are on the lookout for proactive individuals who exemplify our core values of empathy, accountability, collaboration, growth, and inclusion. Primary Purpose of This Role:
To diligently analyze complex workers' compensation claims and determine due benefits while managing high-exposure cases involving litigation and rehabilitation. Adjudicate claims in line with service expectations, industry best practices, and specific client requirements, while identifying the potential for subrogation and negotiating effective settlements. Essential Responsibilities: Analyze and process complex workers' compensation claims, conducting thorough investigations to accurately assess exposure; develop action plans for timely resolutions. Negotiate settlements within designated authority. Calculate and assign appropriate reserves to claims; ensure their adequacy throughout the claim's duration. Calculate, approve, and dispense timely benefits due; manage claim settlements within authority levels. Prepare necessary state filings within statutory limits. Oversee the litigation process to guarantee timely, cost-effective resolution of claims. Coordinate vendor referrals for further investigation and litigation management. Implement cost containment strategies to minimize overall claim costs for clients. Manage claim recoveries, including subrogation and Social Security offsets. Report claims to the excess carrier and respond to inquiries professionally and promptly. Maintain transparent communication regarding claim status with claimants and clients, fostering professional relationships. Ensure all claim files are accurately documented with correct coding. Refer cases to supervisors and management as necessary. Perform other duties as assigned. Qualifications & Licensing: Education:
Bachelor's degree preferred; professional certification applicable to the line of business is also preferred. Experience:
A minimum of five years of claims management experience or an equivalent combination of education and experience is required. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If this role sparks your interest but does not perfectly match your experience, we encourage you to apply anyway! Sedgwick is committed to creating a diverse, equitable, and inclusive workplace that values each individual's unique skills and experiences. Location: Sea Tac, WA - Hybrid
We are on the lookout for proactive individuals who exemplify our core values of empathy, accountability, collaboration, growth, and inclusion. Primary Purpose of This Role:
To diligently analyze complex workers' compensation claims and determine due benefits while managing high-exposure cases involving litigation and rehabilitation. Adjudicate claims in line with service expectations, industry best practices, and specific client requirements, while identifying the potential for subrogation and negotiating effective settlements. Essential Responsibilities: Analyze and process complex workers' compensation claims, conducting thorough investigations to accurately assess exposure; develop action plans for timely resolutions. Negotiate settlements within designated authority. Calculate and assign appropriate reserves to claims; ensure their adequacy throughout the claim's duration. Calculate, approve, and dispense timely benefits due; manage claim settlements within authority levels. Prepare necessary state filings within statutory limits. Oversee the litigation process to guarantee timely, cost-effective resolution of claims. Coordinate vendor referrals for further investigation and litigation management. Implement cost containment strategies to minimize overall claim costs for clients. Manage claim recoveries, including subrogation and Social Security offsets. Report claims to the excess carrier and respond to inquiries professionally and promptly. Maintain transparent communication regarding claim status with claimants and clients, fostering professional relationships. Ensure all claim files are accurately documented with correct coding. Refer cases to supervisors and management as necessary. Perform other duties as assigned. Qualifications & Licensing: Education:
Bachelor's degree preferred; professional certification applicable to the line of business is also preferred. Experience:
A minimum of five years of claims management experience or an equivalent combination of education and experience is required. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If this role sparks your interest but does not perfectly match your experience, we encourage you to apply anyway! Sedgwick is committed to creating a diverse, equitable, and inclusive workplace that values each individual's unique skills and experiences. Location: Sea Tac, WA - Hybrid