Remote Claims Examiner I – Workers' Comp

Sedgwick; Carson City (NV); Remote; USD 60,000 - 85,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner I for Workers' Compensation with remote work options. The role involves analyzing and adjudicating claims for clients across various industries, leveraging a large global network to deliver accurate decisioning and customer-focused service.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED (bachelor's degree preferred), and relevant professional certifications. Flexible schedule and comprehensive benefits are offered.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required; Bachelor's degree 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 experience

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Claims Examiner I for Workers' Compensation with remote work options. The role involves analyzing and adjudicating claims for clients across various industries, leveraging a large global network to deliver accurate decisioning and customer-focused service.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED (bachelor's degree preferred), and relevant professional certifications. Flexible schedule and comprehensive benefits are offered.