Remote Workers’ Comp Claims Examiner

Sedgwick; Bismarck (ND); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401K with company match

PTO and disability insurance

Remote work options

Job summary

Sedgwick, a global leader in risk and claims administration, seeks a Claims Examiner for Workers’ Compensation. The role focuses on analyzing complex WC claims, determining benefits, and ensuring adjudication aligns with client service expectations and best practices.

Expect flexibility in location and career growth within a caring culture. Ideal candidates have 5 years of claims management experience, an active home-state license for Southeast States, and a professional certification as

Qualifications

• Education & Licensing: High School Diploma or GED required; Bachelor's degree 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.
• Licensing / Jurisdiction Knowledge: Home state license required, Southeast States

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

Skills

Claims management experience

Home state license

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick, a global leader in risk and claims administration, seeks a Claims Examiner for Workers’ Compensation. The role focuses on analyzing complex WC claims, determining benefits, and ensuring adjudication aligns with client service expectations and best practices.

Expect flexibility in location and career growth within a caring culture. Ideal candidates have 5 years of claims management experience, an active home-state license for Southeast States, and a professional certification as