Remote Claims Examiner – Workers’ Compensation

Sedgwick; Denver (CO); Remote; USD 65,000 - 81,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) on day one

Paid time off

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims for benefits due and adjudicate them in line with client requirements, regulatory standards, and Sedgwick's service expectations.

The ideal candidate has 5 years of claims management experience, a High School Diploma or GED (Bachelor's preferred), and licensing in FL or the home state. This remote role supports our Southeast jurisdiction coverage and offers flexible work arrangements.

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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing: FL or home state required
• Jurisdiction Knowledge: FL, GA, NC, SC, AL, AR, KY

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 thinking

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims for benefits due and adjudicate them in line with client requirements, regulatory standards, and Sedgwick's service expectations.

The ideal candidate has 5 years of claims management experience, a High School Diploma or GED (Bachelor's preferred), and licensing in FL or the home state. This remote role supports our Southeast jurisdiction coverage and offers flexible work arrangements.