Claims Examiner - Workers Compensation (REMOTE - NC/SC exp needed)

Sedgwick; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Sedgwick seeks a Claims Examiner for Workers Compensation, focusing on analyzing claims and negotiating settlements. Candidates should have five years of claims management experience, with opportunities for professional growth in a flexible, caring work environment.

Benefits

Flexible work schedule

Career development and promotional growth opportunities

Comprehensive benefits including medical, dental, vision

Qualifications

• Five years of claims management experience or equivalent education.
• Professional certifications relevant to the line of business are a plus.

Responsibilities

• Analyze and process claims, ensuring timely resolutions.
• Negotiate claim settlements within designated authority.
• Communicate claim activity with claimants and clients.

Skills

Analytical skills

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

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 Examiner - Workers Compensation (REMOTE - NC/SC exp needed)

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 adjuster, examiner, or related knowledge and experience to adjudicate complex customer claims in an energetic culture.
• Deliver innovative customer-facing solutions to clients representing virtually every industry and some of the world’s most respected organizations.
• Be part of a rapidly growing, industry-leading global company known for excellence and customer service.
• Leverage Sedgwick’s broad, global network of experts to learn from and share your insights.
• Take advantage of professional development opportunities to enhance your skills and grow your career.
• Enjoy flexibility and autonomy in your daily work, location, and career path.
• Access diverse benefits to support your mental, physical, financial, and professional well-being.

PRIMARY PURPOSE OF THE ROLE: We seek driven individuals embodying our caring counts model and core values such as empathy, accountability, collaboration, growth, and inclusion.

ARE YOU AN IDEAL CANDIDATE? Analyze workers' compensation claims to determine benefits due, ensuring ongoing adjudication within service expectations, industry standards, and client requirements.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE:

• Analyzing and processing claims to reach appropriate and timely resolutions by investigating and gathering information.
• Negotiating claim settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to excess carriers and responding to requests professionally and promptly.

QUALIFICATIONS

Education & Licensing: Five (5) years of claims management experience or equivalent education and experience required.

• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certifications relevant to the line of business are a plus.

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Opportunities to work in an agile environment.
• Career development and promotional growth opportunities.
• Comprehensive benefits including medical, dental, vision, and 401K from day one.

Work environment requirements include:

• Physical: Keyboarding.
• Auditory/visual: Hearing, vision, talking.
• Mental: Clear thinking, good judgment, meeting deadlines.

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, consider applying anyway! Sedgwick values diversity, equity, and inclusion, recognizing that each person has a unique set of skills, knowledge, and experience. You might be the right fit for this or other roles.