Hybrid Workers’ Compensation Claims Examiner

Sedgwick; Salem (OR); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Career development

Benefits: medical, dental, vision, 401

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze claims and determine benefits due, ensuring adjudication aligns with client requirements and service expectations. The role emphasizes timely resolution, negotiation within authority, and clear communication with claimants and clients.

Ideal candidates have 5 years of claims management experience, a High School Diploma or GED (Bachelor's preferred), CA licensing knowledge, and a commitment to Sedgwick's values.

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.

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

Analytical thinking

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze claims and determine benefits due, ensuring adjudication aligns with client requirements and service expectations. The role emphasizes timely resolution, negotiation within authority, and clear communication with claimants and clients.

Ideal candidates have 5 years of claims management experience, a High School Diploma or GED (Bachelor's preferred), CA licensing knowledge, and a commitment to Sedgwick's values.