Workers Compensation Consultant- Level 1

Join to apply for the Workers Compensation Consultant - Level 1 role at Sedgwick . 1 week ago – Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. 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. Newsweek Recognizes Sedgwick as America’s Greatest Workplace. Certified as a Great Place to Work®. Fortune Best Workplaces in Financial Services & Insurance. Workers Compensation Consultant - Level 1 We’re hiring Workers’ Compensation Consultants If you have experience handling Workers Compensation claims across Canadian jurisdictions—or background in absence management, leave administration, STD/LTD adjudication—we’d love to have you on our team. Ideal Candidates Will Bring Paralegal expertise for handling claims, appeals, and compliance matters Strong knowledge of workers’ compensation legislation and health & safety standards Proven ability to manage complex claims processes and collaborate with stakeholders Experience in HR leave programs, disability case management, and policy interpretation PRIMARY PURPOSE To analyze reported less complex workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Adjust medical‑only claims and minor lost‑time workers compensation claims under close supervision. Support claims representatives, examiners, and leads with larger or more complex claims as necessary. Process workers compensation claims determining compensability and benefits due; monitor reserve accuracy, and file necessary documentation with state agency. Communicate claim action/processing with claimant, client and appropriate medical contact. Ensure claim files are properly documented and claims coding is correct. Process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims. Maintain professional client relationships. Additional Functions And Responsibilities Perform other duties as assigned. Support the organization’s quality program(s). Qualifications Education & Licensing High school diploma required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge Excellent oral and written communication skills. PC literate, including Microsoft Office products. Analytical and interpretive skills. Strong organizational skills. Good interpersonal skills. Ability to work in a team environment. Ability to meet or exceed performance competencies. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review. We are committed to inclusive, barrier‑free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation. SEDGWRK is an Equal Opportunity Employer. Seniority level: Entry level. Employment type: Full‑time. Job function: Human Resources. Industries: Insurance. #J-18808-Ljbffr