Workers Compensation Claims Representative – OH & IN Jurisdictions

Sedgwick

. Analyze lost-time claims on behalf of clients to determine benefits due .

Posted 10/5/2026full-timeDublin • Ohio • United StatesMid-LevelSenior💰 $55,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in analyzing and processing lost-time claims, with a strong understanding of Workers Compensation and jurisdictional knowledge in Ohio and Indiana. Proficient in negotiating claim settlements and effectively communicating with claimants and clients while adhering to industry best practices.

Highest-signal resume keywords

Claims Management ExperienceWorkers Compensation KnowledgeNegotiation SkillsAnalytical SkillsCommunication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims AnalysisLost-Time Claims ProcessingClaim InvestigationClaim Settlement NegotiationReporting ClaimsDeadline Management

Soft Skills

Problem SolvingJudgmentDiscretionStress ManagementClear Thinking

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

Professional Certification (Preferred)Indiana Licensing (Preferred)

Industry Keywords

Claims AdjudicationClient Service RequirementsExcess CarriersOhio JurisdictionIndiana Jurisdiction

About the role

Key responsibilities & impact

Analyze lost-time claims on behalf of clients to determine benefits due
Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
Process claims through action plans to timely and appropriate resolution
Investigate claims and gather information to determine exposure
Negotiate claim settlements within designated authority
Communicate claim activity and processing with claimants and clients
Report claims to excess carriers
Respond to requests for directions professionally and promptly

Requirements

What you’ll need

High School Diploma or GED required
3 years of claims management experience or equivalent combination of education and experience required
Workers Compensation knowledge and experience
Jurisdiction knowledge: Ohio and Indiana
Indiana licensing preferred but not required
Bachelor's degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred
Ability to analyze and process lost-time claims
Ability to investigate and gather information to determine claim exposure
Ability to negotiate claim settlements within designated authority
Ability to communicate claim activity and processing with claimants and clients
Ability to report claims to excess carriers and respond to direction requests
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Ability to handle work-related stress and multiple priorities
Ability to meet deadlines
Computer keyboarding
Hearing, vision, and talking

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Opportunity to work in an agile environment
Career development and promotional growth opportunities
Medical, dental, and vision insurance
401(k) and matching
Paid time off (PTO)
Disability insurance
Life insurance
Employee assistance program
Flexible spending account or health savings account
Additional voluntary benefits
Remote work option outside commutable distance to the Dublin, OH office