Remote WC Claims Examiner — Flexible & Growth‑Ready

Sedgwick; Honolulu (HI); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

401K on day one

Medical, dental, vision benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze and adjudicate complex claims on behalf of leading clients. This remote role supports our global service model while offering flexibility and a strong culture of care.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED, and Nevada licensing knowledge. The position includes professional development, comprehensive benefits, and opportunities to grow within a global leader.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• 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.
• Licensing / Jurisdiction Knowledge: Nevada License

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

Claims management experience

Education

High School Diploma or GED

Bachelor's degree preferred

Nevada License

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze and adjudicate complex claims on behalf of leading clients. This remote role supports our global service model while offering flexibility and a strong culture of care.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED, and Nevada licensing knowledge. The position includes professional development, comprehensive benefits, and opportunities to grow within a global leader.