Remote Workers' Comp Claims Examiner

Sedgwick; Charlotte (NC); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Medical, dental, vision, 401k and more

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate complex WC claims for multiple clients, operating in a remote/hybrid environment. You will handle the claims with an emphasis on accurate exposure assessment and timely resolution.

The role requires 5 years of claims management experience, a home-state license for Southeast States, and relevant certifications; extensive benefits and professional growth opportunities are provided.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• 5 years of claims management experience or equivalent.
• Home state license required, Southeast States.

Responsibilities

• Analyze and process claims through well-developed action plans to determine exposure and resolve them.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity with the claimant and the client.
• Report claims to the excess carrier and respond to directions in a timely, professional manner.

Skills

Claims analysis

Negotiation

Client communication

Adjudication

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate complex WC claims for multiple clients, operating in a remote/hybrid environment. You will handle the claims with an emphasis on accurate exposure assessment and timely resolution.

The role requires 5 years of claims management experience, a home-state license for Southeast States, and relevant certifications; extensive benefits and professional growth opportunities are provided.