Hybrid Workers’ Comp Claims Examiner – Impact & Growth

Sedgwick Claims Management Services Ltd; Hawaii; Hybrid; USD 75,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career growth

Benefits package

Job summary

Sedgwick Claims Management Services Ltd in Hawaii is seeking a Claims Examiner to analyze workers' compensation claims and determine benefits due while ensuring adjudication aligns with service expectations and client requirements. The role offers a hybrid work arrangement with 2 days in the office and 3 days remote, and a comprehensive benefits package including medical, dental and 401K on day one.

You will investigate, negotiate settlements, and communicate with claimants and clients to

Qualifications

• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing/Jurisdiction knowledge: Hawaii.

Responsibilities

• Analyze workers' compensation claims to determine benefits due and adjudicate within service standards.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and client; report to the excess carrier as required.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick Claims Management Services Ltd in Hawaii is seeking a Claims Examiner to analyze workers' compensation claims and determine benefits due while ensuring adjudication aligns with service expectations and client requirements. The role offers a hybrid work arrangement with 2 days in the office and 3 days remote, and a comprehensive benefits package including medical, dental and 401K on day one.

You will investigate, negotiate settlements, and communicate with claimants and clients to