Remote Claims Examiner - Workers' Compensation

Sedgwick; Salt Lake City (UT); Hybrid; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Medical, dental, vision

401K on day one

PTO

Disability and life insurance

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze complex WC claims for our clients, focusing on benefits due while adhering to service levels and client requirements.

This role offers flexible work arrangements, autonomy, and growth opportunities within a global leader in claims administration; OR licensing is preferred and 5 years of claims management experience is required.

Qualifications

• Education: High School Diploma or GED required; bachelor's degree preferred.
• Professional certification relevant to the line of business is preferred.
• 5 years of claims management experience or equivalent combination of education and experience.

Responsibilities

• Analyzing and processing claims through well-developed action plans to timely resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions professionally and promptly.

Skills

Claims adjudication

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze complex WC claims for our clients, focusing on benefits due while adhering to service levels and client requirements.

This role offers flexible work arrangements, autonomy, and growth opportunities within a global leader in claims administration; OR licensing is preferred and 5 years of claims management experience is required.