Remote Claims Examiner - Workers' Compensation (Midwest)

Sedgwick; Salem (OR); Remote; USD 65,000 - 85,000; Full time

Job summary

Sedgwick is hiring a Claims Examiner for Workers Compensation to analyze claims, determine benefits, and adjudicate within client requirements. This role emphasizes accuracy, investigation, and timely decisions in a remote-friendly setup across Midwest jurisdictions.

The ideal candidate has 5 years of claims management experience, licensing in Midwest states (MI or MN), and a commitment to Sedgwick's caring culture and service standards. A comprehensive benefits package is included.

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

• Analyzing and processing claims through action plans to resolution by investigating information.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and client.
• Reporting claims to the excess carrier and responding to directions promptly.

Skills

Analytical thinking

Negotiation

Communication

Attention to detail

Time management

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is hiring a Claims Examiner for Workers Compensation to analyze claims, determine benefits, and adjudicate within client requirements. This role emphasizes accuracy, investigation, and timely decisions in a remote-friendly setup across Midwest jurisdictions.

The ideal candidate has 5 years of claims management experience, licensing in Midwest states (MI or MN), and a commitment to Sedgwick's caring culture and service standards. A comprehensive benefits package is included.