Experienced Workers' Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; United States; Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional成长

Comprehensive benefits (medical, 401k,

Job summary

Sedgwick is hiring a Workers' Compensation Claims Examiner to analyze lost-time claims for clients, determine benefits due, and adjudicate in line with client service standards. The role emphasizes accurate exposure assessment and timely resolution in a dynamic environment.

Ideal candidates bring 4+ years of claims management experience, VT licensing, and jurisdiction knowledge across CT/MA/NH/RI/VT. Remote-friendly with flexible schedules and growth opportunities.

Qualifications

• Education & Licensing: High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Experience: 4+ years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: CT, MA, NH, RI, VT
• Licensing: VT

Responsibilities

• 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.

Skills

Claims management

Analytical thinking

Negotiation

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification applicable to line of business

Job description

Sedgwick is hiring a Workers' Compensation Claims Examiner to analyze lost-time claims for clients, determine benefits due, and adjudicate in line with client service standards. The role emphasizes accurate exposure assessment and timely resolution in a dynamic environment.

Ideal candidates bring 4+ years of claims management experience, VT licensing, and jurisdiction knowledge across CT/MA/NH/RI/VT. Remote-friendly with flexible schedules and growth opportunities.