Remote Workers' Comp Claims Examiner

Sedgwick; Carson City (NV); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K on day one

Flexible schedule

Career development

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze complex claims and determine benefits for clients. The role supports a flexible, hybrid work model with two days in office and three days remotely for applicants near Sedgwick offices.

Ideal candidates have at least five years of claims management experience, a high school diploma or GED (Bachelor's preferred), and relevant licensing. Sedgwick offers comprehensive benefits, including medical, dental, vision, a 401(k) from

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• 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 experience

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (line of business)

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze complex claims and determine benefits for clients. The role supports a flexible, hybrid work model with two days in office and three days remotely for applicants near Sedgwick offices.

Ideal candidates have at least five years of claims management experience, a high school diploma or GED (Bachelor's preferred), and relevant licensing. Sedgwick offers comprehensive benefits, including medical, dental, vision, a 401(k) from