Remote Claims Examiner - Workers' Compensation

Sedgwick; Juneau (AK); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

401K on day one

Flexible schedule

Career development

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze claims for our valued clients and determine benefits due while upholding service expectations and best practices. The role offers hybrid work with office days and remote options, requires 5 years of claims management experience, and jurisdiction knowledge for MD and NJ; home state licensing preferred.

We provide meaningful work, flexible schedules, and a comprehensive benefits package including medical, dental, vision, 401k

Qualifications

• 5 years of claims management experience or equivalent
• Bachelor's degree preferred; licensed in home state preferred
• Jurisdiction knowledge: MD and NJ

Responsibilities

• Analyze workers' compensation claims to determine benefits due
• Adjudicate claims within service expectations and client requirements
• Negotiate settlements within designated authority
• Communicate claim activity with claimants and clients

Skills

Claims management

Analytical thinking

Negotiation

Education

Bachelor's degree (preferred)

High School Diploma or GED (required)

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze claims for our valued clients and determine benefits due while upholding service expectations and best practices. The role offers hybrid work with office days and remote options, requires 5 years of claims management experience, and jurisdiction knowledge for MD and NJ; home state licensing preferred.

We provide meaningful work, flexible schedules, and a comprehensive benefits package including medical, dental, vision, 401k