Remote Workers' Comp Claims Examiner

Sedgwick; Augusta (ME); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with NV licensing to adjudicate complex claims for major clients. This remote role supports a diverse, agile workplace and offers development opportunities across a global network.

Ideal candidates will have 5+ years of claims management experience, a high school diploma or GED (Bachelor’s preferred), and professional certifications. Sedgwick emphasizes care, collaboration, and flexibility in a supportive environment.

Qualifications

• 5 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 (preferred)

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with NV licensing to adjudicate complex claims for major clients. This remote role supports a diverse, agile workplace and offers development opportunities across a global network.

Ideal candidates will have 5+ years of claims management experience, a high school diploma or GED (Bachelor’s preferred), and professional certifications. Sedgwick emphasizes care, collaboration, and flexibility in a supportive environment.