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Sedgwick Claims Management Services

Claims management and risk solutions provider

Workers Compensation Claims Associate

Claims AdjudicationPosted on Nov 10
Full-time$25 /hr

About the Job

Requirements

  • A high school diploma or GED is required.
  • Strong oral and written communication skills are required.
  • Computer literacy, including Microsoft Office, is required.
  • Organizational skills are required.

Responsibilities

  • Adjust medical-only claims and minor lost-time workers compensation claims under close supervision.
  • Support other claims representatives, examiners, and leads with larger or more complex claims as necessary.
  • Process workers compensation claims by determining compensability and benefits due, monitoring reserve accuracy, and filing necessary documentation with the state agency.
  • Communicate claim actions and processing with claimants, clients, and appropriate medical contacts.
  • Ensure claim files are properly documented and claims coding is correct.
  • Process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims, as applicable.
  • Maintain professional client relationships.

Desired Qualifications

  • Clerical or customer service experience, or an equivalent combination of education and experience, is preferred.

About the Company

Sedgwick Claims Management Services

Claims management and risk solutions provider

Sedgwick manages claims and risk for insurers, corporations, and public entities. Its services cover the full claims lifecycle, including clinical case management, networks, and cost-containment programs, plus specialized work like home inspections and property appraisals. The company operates by charging fees for these managed services that coordinate medical care, assess losses, and support timely resolution. Sedgwick differentiates itself through its integrated, end-to-end approach to claims management and its strong emphasis on caring for people, DEI, and client outcomes. Its goal is to help clients resolve claims efficiently, restore property and brands, and reduce costs through targeted resources deployed at the right time to improve outcomes.

Company size
10,001+
Company stage
Growth Equity (Non-Venture Capital)
Total funding
$1.5B
Headquarters
Memphis, TN
Founded
1969

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