Remote Claims Examiner – Workers' Compensation

Sedgwick; Dover (DE); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Job summary

Sedgwick is seeking a Claims Examiner for Workers Compensation to analyze and adjudicate claims, determine benefits, and ensure timely processing in line with client requirements. This position emphasizes empathy, accuracy, and collaboration within a service-focused team.

The ideal candidate will have a high school diploma or GED (bachelor’s preferred), 5 years of claims experience, and licensing applicable to Midwest jurisdictions (MI/MN).

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

• Analyze and process workers' compensation claims to determine benefits due.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to the excess carrier and respond to directions promptly.

Skills

Claims management

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers Compensation to analyze and adjudicate claims, determine benefits, and ensure timely processing in line with client requirements. This position emphasizes empathy, accuracy, and collaboration within a service-focused team.

The ideal candidate will have a high school diploma or GED (bachelor’s preferred), 5 years of claims experience, and licensing applicable to Midwest jurisdictions (MI/MN).