Remote Claims Examiner I: Workers' Compensation

Sedgwick Claims Management Services Ltd; United States; Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

401k and matching

PTO and disability insurance

Job summary

Sedgwick is hiring for a claims examiner to analyze workers' compensation claims on behalf of clients, determine benefits, and adjudicate within service expectations.

The role requires experience in claims management, knowledge of relevant jurisdictions (FL, GA, NC, SC), and a commitment to accuracy and timely processing. A comprehensive benefits package is provided and remote work is available in designated states.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• Licensing/Jurisdiction knowledge in FL, GA, NC, SC.
• Bachelor's degree preferred; professional certification as applicable to line of business is a plus.

Responsibilities

• Analyzing and processing claims through action plans to a timely resolution by investigating information to determine exposure.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

Claims management experience

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is hiring for a claims examiner to analyze workers' compensation claims on behalf of clients, determine benefits, and adjudicate within service expectations.

The role requires experience in claims management, knowledge of relevant jurisdictions (FL, GA, NC, SC), and a commitment to accuracy and timely processing. A comprehensive benefits package is provided and remote work is available in designated states.