Remote Workers' Comp Claims Examiner

Sedgwick; Boston (MA); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Opportunity to work in an agile env.

Career development and growth

Diverse benefits offering

Job summary

Sedgwick in the United States is recruiting a Claims Examiner - Workers Compensation. You will analyze workers compensation claims, determine benefits due, and ensure adjudication aligns with client requirements.

The role offers flexibility with a hybrid work arrangement (2 days in office, 3 days remote within 25 miles of Sedgwick offices) and opportunities for career growth, benefits, and collaboration across senior teams.

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.
• Licensing: Home state preferred
• Jurisdiction Knowledge: MD and NJ

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

Negotiation

Communication

Analytical thinking

Education

High School diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick in the United States is recruiting a Claims Examiner - Workers Compensation. You will analyze workers compensation claims, determine benefits due, and ensure adjudication aligns with client requirements.

The role offers flexibility with a hybrid work arrangement (2 days in office, 3 days remote within 25 miles of Sedgwick offices) and opportunities for career growth, benefits, and collaboration across senior teams.