Remote Workers' Comp Claims Examiner

Sedgwick; Bastrop (LA); Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

401K on day one

PTO and disability insurance

Life insurance

Employee assistance program

Flexible spending account or HSA

Job summary

Sedgwick is hiring a Lost-Time Workers' Compensation claims examiner to analyze and adjudicate complex claims for diverse clients. You will determine benefits due, align with service expectations, and ensure compliance with client requirements while leveraging Sedgwick’s expert network.

The role offers remote work with opportunities for professional development and a comprehensive benefits package. Licensure and strong litigation experience are valued across the jurisdictions listed.

Qualifications

• Education & Licensing: 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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Heavy Litigation - experience required

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 to line of business

Job description

Sedgwick is hiring a Lost-Time Workers' Compensation claims examiner to analyze and adjudicate complex claims for diverse clients. You will determine benefits due, align with service expectations, and ensure compliance with client requirements while leveraging Sedgwick’s expert network.

The role offers remote work with opportunities for professional development and a comprehensive benefits package. Licensure and strong litigation experience are valued across the jurisdictions listed.