Flexible Schedule: Workers' Comp Claims Examiner

Sedgwick; New York (NY); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k on day one

PTO

Disability insurance

Life insurance

Employee assistance

Job summary

Sedgwick, a global leader in risk and claims management, seeks a dedicated Workers' Compensation Claims Examiner to adjudicate complex claims from a remote setting across the United States. You will determine benefits due, investigate claims, and communicate with claimants and clients in a professional, timely manner.

Ideal candidates have a High School Diploma or GED (Bachelor's preferred) and about 5 years of claims management experience.

Qualifications

• 5 years of claims management experience or equivalent education/experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Strong judgment, analytical thinking and problem solving.

Responsibilities

• Adjudicate complex Lost-Time Workers’ Compensation claims.
• Investigate information to determine exposure and benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carrier and respond to directions promptly.

Skills

Analytical skills

Judgment

Problem solving

Discretion

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick, a global leader in risk and claims management, seeks a dedicated Workers' Compensation Claims Examiner to adjudicate complex claims from a remote setting across the United States. You will determine benefits due, investigate claims, and communicate with claimants and clients in a professional, timely manner.

Ideal candidates have a High School Diploma or GED (Bachelor's preferred) and about 5 years of claims management experience.