Remote Workers' Comp Claims Examiner

Sedgwick; Atlanta (GA); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K on day one

Job summary

Sedgwick is seeking a qualified Claims Examiner for Workers' Compensation to adjudicate complex claims and determine benefits. The role emphasizes working within an energetic culture, offering flexibility in daily work, location, and career path.

Ideal candidates bring at least five years of claims management experience, a high school diploma (bachelor's preferred), and MD/NJ jurisdiction knowledge. This hybrid role combines in-office collaboration with remote work options and competitive

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Experience: 5 years of claims management experience or equivalent.
• Licensing: Home state preferred; jurisdiction knowledge MD and NJ.

Responsibilities

• Analyze workers compensation claims and determine benefits due.
• Negotiate settlement within designated authority.
• Communicate claim activity with claimant and client.
• Report claims to the excess carrier and respond to directions promptly.

Skills

Claims management

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a qualified Claims Examiner for Workers' Compensation to adjudicate complex claims and determine benefits. The role emphasizes working within an energetic culture, offering flexibility in daily work, location, and career path.

Ideal candidates bring at least five years of claims management experience, a high school diploma (bachelor's preferred), and MD/NJ jurisdiction knowledge. This hybrid role combines in-office collaboration with remote work options and competitive