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Claims Associate Workers Compensation Jobs (NOW HIRING)

Metis

Workers' Compensation Claims Associate

Roanoke, VA · On-site

$20.75 - $22.50/hr

If so, we invite you to join our team as a Workers' Compensation Claims Associate . In this role, you'll play a key part in managing claim details and delivering exceptional service to our customers.

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How much do claims associate workers compensation jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for claims associate workers compensation in the United States is $20.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $23.08 per hour, depending on experience, location, and employer.

What does a claims associate in workers compensation do?

A Claims Associate for Workers Compensation is responsible for reviewing, processing, and managing claims filed by employees who have been injured on the job. Their duties include investigating the circumstances of the injury, verifying coverage, determining the validity of claims, and ensuring timely payments to claimants. They work closely with medical professionals, employers, and sometimes legal representatives to gather necessary documentation and resolve claims efficiently. Their role is crucial in helping injured workers receive the benefits they are entitled to while protecting employers from fraudulent or exaggerated claims.

What are the key skills and qualifications needed to thrive as a claims associate in workers compensation?

To thrive as a Claims Associate in Workers Compensation, you need a solid understanding of insurance principles, claims processing, and relevant state regulations, typically supported by a bachelor's degree or relevant work experience. Familiarity with claims management software (such as Guidewire or ClaimCenter), as well as industry certifications like AIC (Associate in Claims), is often required. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These skills ensure accurate claim handling, compliance with legal standards, and excellent customer service for both claimants and employers.

What are some common challenges faced by claims associates in workers compensation, and how can they be managed?

Claims Associates in Workers Compensation often encounter challenges such as managing a high caseload, interpreting complex medical and legal documents, and handling sensitive communications with claimants and employers. Staying organized and prioritizing tasks can help manage workload, while ongoing training and collaboration with medical professionals and legal teams enhance understanding of complex cases. Building strong communication skills is also crucial for navigating difficult conversations and ensuring all parties are informed throughout the claims process.
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What states have the most Claims Associate Workers Compensation jobs?

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Claims Associate Workers Compensation jobs near you
Infographic showing various Claims Associate Workers Compensation job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $43,653 per year, or $21 per hour.

Claims Associate - Workers Compensation (Medical Only) - 100% onsite

Sedgwick

West Des Moines, IA • On-site

$17.50 - $23.50/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 26 days ago

Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 327 frontline employees who took The Breakroom Quiz

218th of 315 rated insurance

Job description

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 Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims Associate - Workers Compensation (Medical Only) - 100% onsite
Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?
  • Career development and promotional growth opportunities through increasing responsibilities
  • A diverse and comprehensive benefits package to take care of your mental, physical, financial, and professional needs

PRIMARY PURPOSE OF THE ROLE: To analyze reportedlower-level Medical Only workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
OFFICE LOCATION: 100% in office; 4200 University Avenue, Suite 317 West Des Moines, IA 50266
ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE
  • Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
  • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
  • Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
  • Communicates claim action/processing with claimant, client and appropriate medical contact.
  • Ensures claim files are properly documented, and claims coding is correct.
  • May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
  • Maintains professional client relationships

QUALIFICATIONS
Education & Licensing: High school diploma or GED required. Licenses as required.
Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
TAKING CARE OF YOU
  • Flexible work schedule.
  • Ability to work in an agile environment
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefit package offering including medical, dental vision, 401K.

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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