Remote WC Claims Examiner I, Flexible Schedule

Sedgwick; South Carolina; Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development opportunities

Comprehensive benefits (medical, 401k,

Job summary

Sedgwick is hiring a Claims Examiner I for workers compensation in a remote capacity. The role requires adjudicating claims for clients across major industries and leveraging Sedgwick's network to drive timely outcomes.

Licensure in FL/GA/NC/SC may apply, with a focus on agile, high-service delivery. The ideal candidate will have 5 years of claims management experience or equivalent, a high school diploma or GED, and relevant professional certifications.

Qualifications

• Five 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.

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.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is hiring a Claims Examiner I for workers compensation in a remote capacity. The role requires adjudicating claims for clients across major industries and leveraging Sedgwick's network to drive timely outcomes.

Licensure in FL/GA/NC/SC may apply, with a focus on agile, high-service delivery. The ideal candidate will have 5 years of claims management experience or equivalent, a high school diploma or GED, and relevant professional certifications.