Claims Examiner, Workers’ Comp – Flexible Schedule

Sedgwick Claims Management Services Ltd; United States; Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Job summary

Sedgwick Claims Management Services Ltd is hiring for a role that analyzes workers’ compensation claims to determine benefits and ensure proper adjudication within client service standards. The ideal candidate brings experience in claims management and reporting, with a NY license and a collaborative, agile mindset.

The position offers a broad benefits package and opportunities for career growth within a global risk and claims organization.

Qualifications

• 5 years of claims management experience or equivalent.
• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• Licensing / Jurisdiction Knowledge: New York License
• Experience working in an agile environment.
• Career development and promotional growth opportunities.

Responsibilities

• Analyzing and processing workers' compensation claims to determine exposure and resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

Claims management

Licensing knowledge

Agile environment

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick Claims Management Services Ltd is hiring for a role that analyzes workers’ compensation claims to determine benefits and ensure proper adjudication within client service standards. The ideal candidate brings experience in claims management and reporting, with a NY license and a collaborative, agile mindset.

The position offers a broad benefits package and opportunities for career growth within a global risk and claims organization.