Remote WC Claims Examiner - VT Licensed

Sedgwick Claims Management Services Ltd; Northern (KY); Hybrid; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical coverage

401(k) matching

Paid time off

Job summary

Sedgwick is hiring a Workers Compensation Claims Examiner to analyze Lost-Time claims for clients, determine benefits, and adjudicate within service expectations and client requirements. The role emphasizes accuracy, timely decisions, and adherence to established processes.

The ideal candidate has 4+ years of claims management experience, VT licensing, and flexibility in a remote work setup, with a strong focus on professional development and a comprehensive benefits package.

Qualifications

• Education & Licensing: High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.
• Experience: 4+ years of claims management experience or equivalent combination of education and experience.
• Jurisdiction Knowledge: VT Licensing; CT, MA, NH, RI jurisdictions noted.
• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one.

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 preferred

Job description

Sedgwick is hiring a Workers Compensation Claims Examiner to analyze Lost-Time claims for clients, determine benefits, and adjudicate within service expectations and client requirements. The role emphasizes accuracy, timely decisions, and adherence to established processes.

The ideal candidate has 4+ years of claims management experience, VT licensing, and flexibility in a remote work setup, with a strong focus on professional development and a comprehensive benefits package.