Remote Workers' Comp Claims Examiner

Sedgwick Claims Management Services Ltd; Arkansas; Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Dental and Vision

401k on day one

PTO

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner to analyze workers’ compensation claims for multiple clients, ensuring timely adjudication and accurate benefit determinations. The role supports a remote-friendly environment with nationwide opportunities and a strong focus on customer service.

Qualified candidates will have relevant education, at least five years of claims management experience, and licensing knowledge for applicable jurisdictions.

Qualifications

• 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

• Analyze workers' compensation claims and determine benefits.
• Adjudicate and process claims within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and client.

Skills

Analytical ability

Communication

Negotiation

Time management

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner to analyze workers’ compensation claims for multiple clients, ensuring timely adjudication and accurate benefit determinations. The role supports a remote-friendly environment with nationwide opportunities and a strong focus on customer service.

Qualified candidates will have relevant education, at least five years of claims management experience, and licensing knowledge for applicable jurisdictions.