Remote Claims Examiner I - Workers' Comp Growth

Sedgwick; Frankfort (KY); Remote; USD 60,000 - 85,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner I for Workers' Compensation in a remote US telecommuter role. You will adjudicate complex claims, analyze exposure, and negotiate settlements in alignment with client service expectations.

The position offers flexible schedules, extensive benefits, and opportunities for career growth across a global network. Ideal candidates have experience in workers' compensation claims, knowledge of state jurisdictions FL, GA, NC, SC, and a commitment to empathetic,

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 experience

Analytical adjudication

Negotiation

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is seeking a Claims Examiner I for Workers' Compensation in a remote US telecommuter role. You will adjudicate complex claims, analyze exposure, and negotiate settlements in alignment with client service expectations.

The position offers flexible schedules, extensive benefits, and opportunities for career growth across a global network. Ideal candidates have experience in workers' compensation claims, knowledge of state jurisdictions FL, GA, NC, SC, and a commitment to empathetic,