Remote Claims Examiner – Workers' Comp | Flexible Growth

Sedgwick; Georgia; Hybride; USD 65 000 - 90 000; Plein temps

Avantages offerts par ce poste

Flexible schedule

Referral incentives

Agile environment

Career development

Benefits package

Résumé du poste

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims for our clients, determining benefits due while adjudicating within service expectations. This role emphasizes accurate investigations and timely resolutions across a portfolio of clients.

The ideal candidate brings 5 years of claims management experience, familiarity with workers' compensation, and a collaborative, client-focused approach in a flexible, hybrid work environment.

Qualifications

• Education & Licensing: 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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.

Responsabilités

• 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.

Formation

High School Diploma or GED

Bachelor's degree

Professional certification (as applicable to line of business)

Description du poste

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims for our clients, determining benefits due while adjudicating within service expectations. This role emphasizes accurate investigations and timely resolutions across a portfolio of clients.

The ideal candidate brings 5 years of claims management experience, familiarity with workers' compensation, and a collaborative, client-focused approach in a flexible, hybrid work environment.