Flexible Remote Workers' Comp Claims Examiner

Sedgwick; City of Albany (NY); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Benefits package (medical, dental, 401

PTO

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with jurisdiction in WA & OR, offering remote work. Lead analysis of complex claims, negotiate settlements, and coordinate with clients to ensure timely adjudication. Includes flexible schedule and comprehensive benefits.

Qualified candidates will have a high school diploma or GED, a bachelor’s degree preferred, and relevant licensing. The role emphasizes accountability, collaboration, and growth within Sedgwick’s care-centric

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

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

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with jurisdiction in WA & OR, offering remote work. Lead analysis of complex claims, negotiate settlements, and coordinate with clients to ensure timely adjudication. Includes flexible schedule and comprehensive benefits.

Qualified candidates will have a high school diploma or GED, a bachelor’s degree preferred, and relevant licensing. The role emphasizes accountability, collaboration, and growth within Sedgwick’s care-centric