Remote Claims Examiner | Workers’ Comp & Growth

Sedgwick; Flagstaff (AZ); Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Healthcare benefits

401(k) with matching

Paid time off

Flexible schedule

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation, with AK licensing and remote work eligibility. The position focuses on processing low-level claims to determine benefits, ensuring adjudication within standards, and coordinating action plans and settlements with supervision.

You will maintain documentation, communicate with claimants and clients, and support return-to-work efforts while building professional relationships.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Processes low level workers' compensation claims determining compensability and benefits due.
• Develops action plans toward resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Maintains professional client relationships and ensures proper documentation and claims coding.

Skills

Claims processing

Attention to detail

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Tools

Claims management software

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation, with AK licensing and remote work eligibility. The position focuses on processing low-level claims to determine benefits, ensuring adjudication within standards, and coordinating action plans and settlements with supervision.

You will maintain documentation, communicate with claimants and clients, and support return-to-work efforts while building professional relationships.