Entry-Level Workers' Compensation Claims Examiner

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

Benefits offered by this job

Flexible work schedule

Referral incentive program

Medical, dental, vision insurance

401(k) on day one

Job summary

Sedgwick Claims Management Services Ltd is seeking motivated claims examiners to analyze workers' compensation claims for major clients. You will determine benefits due and ensure adjudication aligns with service expectations and client requirements.

The role involves negotiating settlements, communicating progress with claimants and clients, and reporting to excess carriers while meeting deadlines. A strong focus on accuracy and professional communication is essential.

Qualifications

• 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.
• Professional certification applicable to line of business preferred.

Responsibilities

• Analyze workers' compensation claims on behalf of clients to determine benefits due and adjudicate within service expectations.
• Negotiate settlements of claims within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to excess carriers and respond to directions in a timely manner.

Skills

Claims analysis

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification applicable to line of business preferred

Job description

Sedgwick Claims Management Services Ltd is seeking motivated claims examiners to analyze workers' compensation claims for major clients. You will determine benefits due and ensure adjudication aligns with service expectations and client requirements.

The role involves negotiating settlements, communicating progress with claimants and clients, and reporting to excess carriers while meeting deadlines. A strong focus on accuracy and professional communication is essential.