Remote Workers' Comp Claims Examiner

Sedgwick; Charleston (WV); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Work from home

Comprehensive benefits

Job summary

Sedgwick is seeking a remote US Telecommuter Claims Examiner for Workers' Compensation. You will analyze and adjudicate complex claims to determine benefits due, while maintaining service standards and client requirements.

Ideal candidates bring 5+ years in claims management, strong negotiation skills, and the ability to work independently from home. Sedgwick offers flexible schedules and comprehensive benefits in a supportive, inclusive environment.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• 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.

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 analysis

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a remote US Telecommuter Claims Examiner for Workers' Compensation. You will analyze and adjudicate complex claims to determine benefits due, while maintaining service standards and client requirements.

Ideal candidates bring 5+ years in claims management, strong negotiation skills, and the ability to work independently from home. Sedgwick offers flexible schedules and comprehensive benefits in a supportive, inclusive environment.