Remote WC Claims Examiner — Flexible, Impactful Role

Sedgwick; Columbus (OH); Ibrido; USD 70.000 - 85.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Descrizione del lavoro

Sedgwick is seeking a Claims Examiner – Workers' Compensation with jurisdiction in MD & NJ and a preference for a Home State license. The role analyzes workers’ compensation claims, negotiates settlements, and communicates with claimants and clients while maintaining service standards.

Ideal candidates have 5+ years of claims experience and a relevant credential. Office arrangement includes hybrid work: 2 days in office and 3 days remote if within 25 miles of Sedgwick offices; fully remote

Competenze

• Education: High school diploma or GED is required.
• Bachelor's degree from an accredited college or university is preferred.
• Professional certification relevant to line of business is a plus.
• Minimum 5 years of claims management experience or equivalent.

Mansioni

• Analyze workers' compensation claims to determine benefits and adjudicate within service standards.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carriers and respond to directions promptly.

Conoscenze

Claims adjudication

Negotiation

Communication skills

Investigative thinking

Formazione

High School Diploma or GED

Bachelor's degree preferred

Descrizione del lavoro

Sedgwick is seeking a Claims Examiner – Workers' Compensation with jurisdiction in MD & NJ and a preference for a Home State license. The role analyzes workers’ compensation claims, negotiates settlements, and communicates with claimants and clients while maintaining service standards.

Ideal candidates have 5+ years of claims experience and a relevant credential. Office arrangement includes hybrid work: 2 days in office and 3 days remote if within 25 miles of Sedgwick offices; fully remote