Remote Claims Examiner - Workers’ Compensation

Sedgwick; Moline (IL); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development opportunities

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a dedicated Claims Examiner for Workers’ Compensation in the Midwest with licensing in MI or MN. This role analyzes claims, determines benefits, and ensures timely adjudication per client requirements.

A stable, supportive environment emphasizes growth, inclusion, and work-life balance. Ideal candidates possess a high school diploma or GED (bachelor's preferred) and at least five years of claims experience.

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.
• Jurisdiction Knowledge: Midwest states
• Licensing: MI or MN required

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 skills

Detail oriented

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a dedicated Claims Examiner for Workers’ Compensation in the Midwest with licensing in MI or MN. This role analyzes claims, determines benefits, and ensures timely adjudication per client requirements.

A stable, supportive environment emphasizes growth, inclusion, and work-life balance. Ideal candidates possess a high school diploma or GED (bachelor's preferred) and at least five years of claims experience.