Remote Claims Examiner I - Workers' Compensation

Sedgwick Claims Management Services Ltd; Northern (KY); Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package

Job summary

Sedgwick Claims Management Services Ltd. is hiring a Claims Examiner I for workers compensation, remotely across FL, GA, NC or SC. The role focuses on adjudicating complex claims with adherence to client service requirements and internal standards.

The ideal candidate will analyze exposure, negotiate settlements, and communicate effectively with claimants and clients while leveraging Sedgwick’s expertise and agile environment. Remote flexibility and robust benefits accompany this opportunity.

Qualifications

• 5 years of claims management experience or equivalent.
• High School Diploma or GED required.
• Bachelor's degree preferred.
• Licensing knowledge for FL, GA, NC, SC.

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

Analytical thinking

Communication skills

Negotiation

Attention to detail

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick Claims Management Services Ltd. is hiring a Claims Examiner I for workers compensation, remotely across FL, GA, NC or SC. The role focuses on adjudicating complex claims with adherence to client service requirements and internal standards.

The ideal candidate will analyze exposure, negotiate settlements, and communicate effectively with claimants and clients while leveraging Sedgwick’s expertise and agile environment. Remote flexibility and robust benefits accompany this opportunity.