Remote Claims Examiner – Workers' Comp Specialist

Sedgwick; Charlotte (NC); Hybrid; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Medical benefits

Dental benefits

Vision benefits

401K on day one

Zusammenfassung

Sedgwick is seeking a Claims Examiner – Workers' Compensation to analyze claims for benefits due and adjudicate within service expectations. You will investigate, gather information, and determine exposure while coordinating with clients.

The role emphasizes negotiation, timely communication, and reporting to excess carriers, with a focus on accuracy and professional discretion. A high school diploma is required, with a bachelor's degree preferred and 5 years of claims experience.

Qualifikationen

• 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.

Aufgaben

• Negotiate settlement of workers' compensation claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a timely manner.

Kenntnisse

Analytical skills

Communication skills

Ausbildung

High School Diploma or GED

Bachelor's degree preferred

Tools

Claims systems

Jobbeschreibung

Sedgwick is seeking a Claims Examiner – Workers' Compensation to analyze claims for benefits due and adjudicate within service expectations. You will investigate, gather information, and determine exposure while coordinating with clients.

The role emphasizes negotiation, timely communication, and reporting to excess carriers, with a focus on accuracy and professional discretion. A high school diploma is required, with a bachelor's degree preferred and 5 years of claims experience.