Remote Claims Examiner, Workers' Comp (SC/NC)

Sedgwick Claims Management Services Ltd; Charlotte (NC); Ibrido; USD 60.000 - 85.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible schedule

Benefits on day one

Descrizione del lavoro

Sedgwick seeks a Claims Examiner to analyze workers' compensation claims for client adjudication. You will determine benefits, gather information, and ensure timely processing within service standards. A focus on accurate exposure assessment and adherence to client requirements is essential.

The role emphasizes collaboration with clients, carriers, and internal teams, while maintaining strong communication and documentation throughout the lifecycle of each claim.

Competenze

• 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.
• Licensing / Jurisdiction Knowledge: SC & NC

Mansioni

• Analyzing and processing workers' compensation claims to determine exposure and benefits.
• Negotiating settlements within designated authority.
• Communicating claim activity to the claimant and the client.

Conoscenze

Claims management

Analytical thinking

Negotiation

Client communication

Formazione

High School Diploma or GED

Bachelor's degree preferred

Descrizione del lavoro

Sedgwick seeks a Claims Examiner to analyze workers' compensation claims for client adjudication. You will determine benefits, gather information, and ensure timely processing within service standards. A focus on accurate exposure assessment and adherence to client requirements is essential.

The role emphasizes collaboration with clients, carriers, and internal teams, while maintaining strong communication and documentation throughout the lifecycle of each claim.