Remote Claims Examiner — Workers' Comp Specialist

Sedgwick; Topeka (KS); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Hybrid work model

Benefits package including medical, -d

Job summary

Sedgwick is seeking a Claims Examiner - Workers’ Compensation to analyze and adjudicate complex claims for clients in MD and NJ. The role offers remote flexibility within a hybrid model, with a strong focus on accurate investigations and timely settlements.

You will collaborate across teams, manage claim timelines, and ensure adherence to client requirements while building our caring culture and promoting growth within the organization.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Licensing: Home state preferred.
• Jurisdiction knowledge: MD and NJ.

Responsibilities

• Analyzing and processing claims through well-developed action plans to reach timely resolution.
• 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 directions in a timely manner.

Skills

Claims management

Analytical thinking

Communication

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is seeking a Claims Examiner - Workers’ Compensation to analyze and adjudicate complex claims for clients in MD and NJ. The role offers remote flexibility within a hybrid model, with a strong focus on accurate investigations and timely settlements.

You will collaborate across teams, manage claim timelines, and ensure adherence to client requirements while building our caring culture and promoting growth within the organization.