Remote Claims Examiner I - Workers' Comp

Sedgwick; Annapolis (MD); 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 is seeking a Claims Examiner I for workers' compensation, primarily remote within FL, GA, NC or SC. The role involves analyzing complex claims, adjudicating benefits, negotiating settlements, and maintaining clear communication with claimants and clients.

Flexible work arrangements and comprehensive benefits accompany a chance to grow with a leading risk and claims company. You will work in an agile environment, leverage a broad network of experts, and have opportunities for

Qualifications

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

negotiation

communication

investigation

Education

High school diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Examiner I for workers' compensation, primarily remote within FL, GA, NC or SC. The role involves analyzing complex claims, adjudicating benefits, negotiating settlements, and maintaining clear communication with claimants and clients.

Flexible work arrangements and comprehensive benefits accompany a chance to grow with a leading risk and claims company. You will work in an agile environment, leverage a broad network of experts, and have opportunities for