Remote Claims Examiner — Workers’ Compensation

Sedgwick; Austin (TX); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

PTO

Disability and life insurance

Employee assistance program

Flexible spending account or health-sy

Voluntary benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims for benefits due, ensuring adjudication within service expectations and client requirements. Role emphasizes accurate investigations, proper exposure assessment, and timely resolutions.

The ideal candidate has 5+ years in claims management, with licensing in MI or MN preferred. The position offers a stable office environment, with comprehensive benefits and potential remote work options within Midwest scope.

Qualifications

• 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.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine 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

Analyzing claims

Negotiation

Communication

Time management

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims for benefits due, ensuring adjudication within service expectations and client requirements. Role emphasizes accurate investigations, proper exposure assessment, and timely resolutions.

The ideal candidate has 5+ years in claims management, with licensing in MI or MN preferred. The position offers a stable office environment, with comprehensive benefits and potential remote work options within Midwest scope.