{"id":2887633,"url":"https://alion.io/job/sedgwick-claims-associate-workers-compensation-2","title":"Claims Associate - Workers Compensation","company":{"id":5707,"name":"Sedgwick","domain":"sedgwick.com","url":"https://alion.io/company/sedgwick","size_band":"5000+","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":79,"open_postings":42,"ghost_share":0,"stale_share":0.833,"repost_share":0,"time_to_fill_p50_days":24,"computed_at":"2026-10-23T05:54:15Z"}},"role":"HR","role_family":"HR","seniority":"junior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Raleigh, United States","United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":40000,"max_usd":77000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":213},"experience_years_min":1,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-19T00:00:00Z","employer_posted_date":"2026-10-19","last_verified_at":"2026-10-23T03:27:27Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"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.\nNewsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies\nCertified as a Great Place to Work®\nFortune Best Workplaces in Financial Services & Insurance\nClaims Associate - Workers CompensationAre 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?\nDeliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. \nBe a part of a rapidly growing, industry-leading global company known for its excellence and customer service. \nLeverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. \nTake advantage of a variety of professional development opportunities that help you perform your best work and grow your career. . \nAccess diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. \nARE 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.\nPRIMARY PURPOSE OF THE ROLE To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.\nESSENTIAL RESPONSIBLITIES MAY INCLUDE\nAdjusts medical-only claims and minor lost-time workers compensation claims under close supervision.\nSupports other claims representatives, examiners and leads with larger or more complex claims as necessary.\nProcesses workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.\nCommunicates claim action/processing with claimant, client and appropriate medical contact.\nEnsures claim files are properly documented and claims coding is correct.\nMay process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.\nMaintains professional client relationships.\nQUALIFICATIONS\nEducation & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.\nExperience: 1 years of claims management experience or equivalent combination of education and experience required.\nTAKING CARE OF YOU\nFlexible work schedule. \nReferral incentive program. \nCareer development and promotional growth opportunities. \nA diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. \nWORK ENVIRONMENT REQUIREMENTS INCLUDE \nWhen applicable and appropriate, consideration will be given to reasonable accommodations.\nMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines\nPhysical: Computer keyboarding, travel as required\nAuditory/Visual: Hearing, vision and talking\n#claimsexaminer #claims #hybrid #LI-REMOTE\nSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.\nIf 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. 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