Remote Workers' Comp Claims Examiner

Sedgwick; Carson City (NV); Remote; USD 65,000 - 81,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims on behalf of clients and determine benefits due while ensuring timely adjudication and adherence to service standards.

This remote, full-time role covers Southeast jurisdiction knowledge and requires five years of claims experience. The position offers flexible schedules, development opportunities, and a comprehensive benefits package.

Qualifications

• High school diploma or GED required; bachelor's degree preferred.
• 5 years claims management experience or equivalent.
• Licensing: FL or home state required.
• Jurisdiction knowledge: FL, GA, NC, SC, AL, AR, KY

Responsibilities

• Analyze and process claims through developed action plans to a timely resolution by investigating and gathering information to determine exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to directions in a professional and timely manner

Skills

Claims management

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims on behalf of clients and determine benefits due while ensuring timely adjudication and adherence to service standards.

This remote, full-time role covers Southeast jurisdiction knowledge and requires five years of claims experience. The position offers flexible schedules, development opportunities, and a comprehensive benefits package.