Sedgwick · 1 week ago
Claims Representative - Workers Comp | Las Vegas - In Office
Las Vegas, NV
Full-time
Onsite
Entry, Mid Level
2+ years expSedgwick is a global industry leader known for its excellence and customer service. The Claims Representative role involves processing low level workers compensation claims, determining benefits due, and negotiating settlements under general supervision.
BankingInsuranceRisk Management
Responsibilities
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
Maintains professional client relationships
Performs other duties as assigned
Supports the organization's quality program(s)
Travels as required
Qualification
Required
Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required
Jurisdiction Knowledge: Nevada
Preferred
Bachelor's degree from an accredited college or university preferred
Nevada Staff Adjuster License preferred; will be required to obtain post hire Sedgwick funded
Benefits
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
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