Remote Workers' Comp Claims Examiner

Sedgwick; Boston (MA); Remote; USD 90,000 - 95,000; Full time

Benefits offered by this job

Remote environment

Flexible schedule

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a driven professional to analyze Lost-Time Workers’ Compensation claims for our valued clients. You will determine benefits due while ensuring adjudication aligns with service expectations and client requirements.

Ideal candidates bring 3–5 years of claims management experience, strong negotiation skills, and the ability to work remotely within a national framework. Sedgwick offers a comprehensive benefits package and opportunities for career growth.

Qualifications

• High School Diploma or GED required; bachelor’s degree preferred.
• 3-5 years of claims management experience required.
• Public Entity Workers’ Compensation experience preferred; NY license required.

Responsibilities

• Analyze and adjudicate lost-time workers' compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to the excess carrier and respond to directions professionally.

Skills

Claims management

Negotiation

Client communication

Education

High School Diploma

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a driven professional to analyze Lost-Time Workers’ Compensation claims for our valued clients. You will determine benefits due while ensuring adjudication aligns with service expectations and client requirements.

Ideal candidates bring 3–5 years of claims management experience, strong negotiation skills, and the ability to work remotely within a national framework. Sedgwick offers a comprehensive benefits package and opportunities for career growth.