Remote Claims Examiner — Workers' Compensation

Sedgwick; Cheyenne (WY); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K on day one

PTO

Disability insurance

Life insurance

Employee assistance

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation with a CA licensing awareness for a hybrid work setup. The role focuses on analyzing claims, determining benefits, and ensuring adjudication within service expectations while coordinating with clients and claimants.

A strong compliance perspective and communication skills are essential. The ideal candidate has at least 5 years of claims management experience, a high school diploma (Bachelor's preferred), and licensing knowledge for

Qualifications

• 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 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

Analytical skills

Communication

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation with a CA licensing awareness for a hybrid work setup. The role focuses on analyzing claims, determining benefits, and ensuring adjudication within service expectations while coordinating with clients and claimants.

A strong compliance perspective and communication skills are essential. The ideal candidate has at least 5 years of claims management experience, a high school diploma (Bachelor's preferred), and licensing knowledge for