Remote Workers' Comp Claims Examiner

Sedgwick; Buffalo (NY); Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a Workers Compensation Claims Examiner to adjudicate complex Lost-Time claims for clients across MA, CT, NH, RI, and VT. This remote role involves analyzing exposure, negotiating settlements, and communicating with claimants and clients, with licensing in relevant jurisdictions.

The position offers flexible scheduling, career development, and a comprehensive benefits package, reflecting Sedgwick's commitment to a supportive work environment.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Jurisdiction knowledge: MA, CT, NH, RI, VT; Licensing: VT, CT, NH, RI.

Responsibilities

• Analyze and process claims to determine exposure and resolve within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimant and client.
• Report claims to excess carrier and respond to directions professionally and timely.

Skills

Claims management

Negotiation

Communication

Attention to detail

Education

High School Diploma or GED

Bachelor's degree

Professional certification (as applicable)

Job description

Sedgwick is seeking a Workers Compensation Claims Examiner to adjudicate complex Lost-Time claims for clients across MA, CT, NH, RI, and VT. This remote role involves analyzing exposure, negotiating settlements, and communicating with claimants and clients, with licensing in relevant jurisdictions.

The position offers flexible scheduling, career development, and a comprehensive benefits package, reflecting Sedgwick's commitment to a supportive work environment.