Remote Claims Examiner, Workers' Comp | Flexible Hours

Sedgwick Claims Management Services Ltd; Michigan; Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile work environment

Career development opportunities

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a Claims Examiner for workers' compensation to analyze complex claims, apply adjudication best practices, and coordinate with attorneys, clients, and carriers. The role emphasizes responsibility, accuracy, and timely decision-making in a dynamic, multi-state environment.

The ideal candidate will have five years of claims management experience, multi-state licensing knowledge, and a commitment to Sedgwick's values in a hybrid work setting.

Qualifications

• 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 workers' compensation claims to determine benefits and resolutions.
• Negotiating settlements within designated authority and communicating results to claimants and clients.
• Reporting claims to carriers and coordinating with clients to provide timely updates.

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable to line of business

Job description

Sedgwick is seeking a Claims Examiner for workers' compensation to analyze complex claims, apply adjudication best practices, and coordinate with attorneys, clients, and carriers. The role emphasizes responsibility, accuracy, and timely decision-making in a dynamic, multi-state environment.

The ideal candidate will have five years of claims management experience, multi-state licensing knowledge, and a commitment to Sedgwick's values in a hybrid work setting.