Hybrid Claims Examiner – Workers' Comp Specialist

Sedgwick; Boston (MA); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional增长

Job summary

Sedgwick, a global leader in claims management, is seeking a Claims Examiner for Workers' Compensation in a hybrid CA role. You will analyze claims, determine benefits, and adjudicate according to client service expectations while collaborating with a broad network of experts.

The position emphasizes empathy, accountability, and growth within a supportive culture. Ideal candidates have CA license knowledge, a high school diploma or GED with a Bachelor's degree preferred, and at least 5 years in

Qualifications

• Education & Licensing: High School Diploma or GED required; Bachelor's degree preferred; Professional certification as applicable to line of business preferred.

Responsibilities

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

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable to line of business

Job description

Sedgwick, a global leader in claims management, is seeking a Claims Examiner for Workers' Compensation in a hybrid CA role. You will analyze claims, determine benefits, and adjudicate according to client service expectations while collaborating with a broad network of experts.

The position emphasizes empathy, accountability, and growth within a supportive culture. Ideal candidates have CA license knowledge, a high school diploma or GED with a Bachelor's degree preferred, and at least 5 years in