Claims Examiner: Growth & Flexible Schedule

Sedgwick; United States; Remote; USD 70.000 - 85.000; Vollzeit

Benefits dieser Stelle

Flexible work schedule

Referral incentives

Career development opportunities

Comprehensive benefits (medical, dentl

Zusammenfassung

Sedgwick is seeking a Claims Examiner to analyze Workers' Compensation claims for client organizations. You will assess benefits due, adjudicate within service expectations, and apply industry best practices to ensure accurate resolutions.

The role emphasizes analytical thinking, negotiation, and timely communication with claimants and clients, with flexible schedules and a broad benefits package.

Qualifikationen

• Education: High School Diploma or GED required; Bachelor’s degree preferred; Professional certification as applicable to line of business.
• Experience: 5 years of claims management experience or equivalent combination of education and experience.

Aufgaben

• Analyzing and processing workers' compensation claims to determine exposure and appropriate resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests promptly and professionally.

Kenntnisse

5 years claims management experience

Professional certification

Ausbildung

High School Diploma or GED

Bachelor’s degree

Jobbeschreibung

Sedgwick is seeking a Claims Examiner to analyze Workers' Compensation claims for client organizations. You will assess benefits due, adjudicate within service expectations, and apply industry best practices to ensure accurate resolutions.

The role emphasizes analytical thinking, negotiation, and timely communication with claimants and clients, with flexible schedules and a broad benefits package.