Remote Claims Examiner – Workers' Comp & Growth

Sedgwick; North Carolina; Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental and vision benefits on

401K on day one

Job summary

Sedgwick is seeking a Claims Examiner for Workers Compensation to analyze claims for benefits due, while ensuring adjudication aligns with client requirements. The role covers jurisdiction and licensing with SC and NC, and involves communicating with claimants and clients, reporting to carriers, and negotiating settlements within authority.

The position offers a hybrid schedule, travel as required, and opportunities for career development within a global leader in risk and claims management.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.

Responsibilities

• 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 timely manner.
• Analyze Workers Compensation claims to determine benefits due and adjudicate within service expectations.

Skills

Claims management

Analytical skills

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers Compensation to analyze claims for benefits due, while ensuring adjudication aligns with client requirements. The role covers jurisdiction and licensing with SC and NC, and involves communicating with claimants and clients, reporting to carriers, and negotiating settlements within authority.

The position offers a hybrid schedule, travel as required, and opportunities for career development within a global leader in risk and claims management.