Sedgwick · 18 hours ago
Claim Representative - Workers Compensation - Naperville, IL - Hybrid
Illinois, United States
Full-time
Hybrid
Entry, Mid Level
$45K/yr - $63K/yr
2+ years expSedgwick is a global industry leader known for its excellence and customer service, inviting individuals to grow their careers within a caring culture. The Claim Representative role focuses on processing low-level workers compensation claims, ensuring accurate benefits determination, and maintaining professional client relationships.
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
Experience in Workers Compensation Claims handling of TX IL IN MO KS
Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required
Preferred
Bachelor's degree from an accredited college or university preferred
Benefits
Flexible Work Schedule
Referral Incentive Program
Opportunity to work from home
Career development and promotional growth opportunities
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1
Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits
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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