Flexible-Schedule Workers’ Comp Claims Examiner

Sedgwick Claims Management Services Ltd; United States; Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Benefits package

Job summary

Sedgwick Claims Management Services Ltd is seeking driven individuals to analyze workers' compensation claims for our valued clients, determining benefits due while ensuring adjudication aligns with service expectations and client requirements.

You will analyze and resolve claims using well-developed action plans, negotiate settlements, and maintain clear communication with claimants and clients, within an agile, growth-oriented environment.

Qualifications

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

Responsibilities

• Analyzing and processing workers' compensation claims to determine exposure and benefits.
• Negotiating settlement within designated authority.
• Communicating claim activity with claimant and client.
• Reporting claims to the excess carrier and responding to directions professionally and timely.

Skills

Claims management

Negotiation

Communication

Education

Bachelor's degree preferred

High School Diploma or GED required

Job description

Sedgwick Claims Management Services Ltd is seeking driven individuals to analyze workers' compensation claims for our valued clients, determining benefits due while ensuring adjudication aligns with service expectations and client requirements.

You will analyze and resolve claims using well-developed action plans, negotiate settlements, and maintain clear communication with claimants and clients, within an agile, growth-oriented environment.