Remote Claims Examiner – Workers' Comp Specialist

Sedgwick; Montgomery (AL); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Agile work environment

Career development & growth

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with NE jurisdiction experience to join our remote, national team. You will analyze and adjudicate claims, determine benefits due, and ensure service expectations are met across diverse client accounts.

Join Sedgwick to leverage a vast network of experts, enjoy flexible work arrangements, and access extensive development opportunities as you help clients navigate complex risk landscapes with integrity and care.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.
• Licensing / Jurisdiction Knowledge: NH, VT, MA, CT, RI, DC, DE, WV, VA.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• 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 professional and timely manner.

Skills

Claims management experience

Education

High School Diploma or GED

Bachelor's degree preferred

Licensing/Jurisdiction knowledge NH VT MA CT RI DC DE WV VA

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with NE jurisdiction experience to join our remote, national team. You will analyze and adjudicate claims, determine benefits due, and ensure service expectations are met across diverse client accounts.

Join Sedgwick to leverage a vast network of experts, enjoy flexible work arrangements, and access extensive development opportunities as you help clients navigate complex risk landscapes with integrity and care.