Claims Examiner I Workers Compensation (REMOTE) I FL, GA, NC or SC experience

Sedgwick; Lorida (FL); A distancia; USD 42.000 - 56.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

401K on day one

Paid time off

Descripción de la vacante

Sedgwick is seeking a Claims Examiner I for workers' compensation to adjudicate complex claims remotely across FL, GA, NC or SC experience. You will apply your knowledge to determine benefits due while upholding service levels.

The role offers an agile environment, professional development, and access to a broad network of experts.

Formación

• 5 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Remote-friendly role with flexible schedule.

Responsabilidades

• Analyze workers compensation claims to determine benefits due.
• Develop action plans and investigate to determine exposure.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and the client.
• Report claims to the excess carrier as required.

Conocimientos

Claims management

Workers' compensation

Adjudication

Negotiation

Communication skills

Educación

High School Diploma or GED

Bachelor's degree

Herramientas

Microsoft Office

Claims processing software

Descripción del empleo

Fortune Best Workplaces in Financial Services & Insurance

Claims Examiner I Workers Compensation (REMOTE) I FL, GA, NC or SC experience Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

Apply your workers compensation examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

PRIMARY PURPOSE OF THE ROLE

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

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 of directions in a professional and timely manner.

Education & Licensing

5 years of claims management experience or equivalent combination of education and experience required.

High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

Flexible work schedule.

Opportunity to work in an agile environment.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Computer keyboarding

Auditory/visual: A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.