Claims Adjuster – Workers Compensation

Sedgwick

. Analyze and process workers compensation claims through action plans toward appropriate and timely resolution .

Posted 9/22/2026full-timeRemote • Missouri • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing and processing workers compensation claims, ensuring timely resolution and adherence to industry best practices. Proficient in negotiating settlements and communicating effectively with claimants and clients while managing multiple priorities.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsAnalytical SkillsKnowledge of KS JurisdictionProblem-Solving Ability

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingAdjudicationSettlement NegotiationInformation Gathering

Soft Skills

Communication SkillsStress ManagementJudgment and DiscretionTime Management

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

Professional Certification

Industry Keywords

Workers CompensationClaim ExposureService ExpectationsClient-Specific Requirements

About the role

Key responsibilities & impact

Analyze and process workers compensation claims through action plans toward appropriate and timely resolution
Investigate and gather information to determine claim exposure
Negotiate claim settlements within designated authority
Communicate claim activity and processing with claimants and clients
Report claims to the excess carrier
Respond to requests for directions professionally and promptly
Adjudicate claims within service expectations, industry best practices, and client-specific requirements

Requirements

What you’ll need

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
4 years of claims management experience or equivalent combination of education and experience required
Knowledge of KS jurisdiction
Licensing not required
Ability to analyze, investigate, troubleshoot, solve problems, and exercise judgment and discretion
Ability to handle work-related stress and multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding ability
Travel as required
Hearing, vision, and talking abilities

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Opportunity to work in an agile environment
Career development and promotional growth opportunities
Diverse and comprehensive benefits including medical, dental, vision, and 401K on day one
Reasonable accommodations considered when applicable and appropriate