Remote Claims Examiner — Workers' Comp Specialist

Sedgwick; Carson City (NV); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick in the United States is seeking a Claims Examiner for Workers' Compensation to adjudicate complex claims and determine benefits for clients. The role offers hybrid work options, with office days and remote work within a defined radius.

You will analyze claims, negotiate settlements within authority, communicate with claimants and clients, and report activity to excess carriers. Qualifications include high school diploma or GED (bachelor's preferred), 5 years claims experience, and MD/NJ

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzing and processing claims to determine exposure and timely resolution.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions promptly.

Skills

Claims handling

Negotiation

Communication

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick in the United States is seeking a Claims Examiner for Workers' Compensation to adjudicate complex claims and determine benefits for clients. The role offers hybrid work options, with office days and remote work within a defined radius.

You will analyze claims, negotiate settlements within authority, communicate with claimants and clients, and report activity to excess carriers. Qualifications include high school diploma or GED (bachelor's preferred), 5 years claims experience, and MD/NJ