Remote Workers' Comp Claims Examiner

Sedgwick; Dover (DE); Remote; USD 63,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick seeks a remote Workers' Compensation Claims Examiner to analyze and adjudicate complex claims for clients nationwide. You will determine benefits due, maintain service standards, and support a fast-paced, client-focused culture.

The role offers flexibility, agile collaboration, and opportunities for professional growth within a globally recognized leader in risk and claims management.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required. Bachelor's degree 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

Investigation

Education

Bachelor's degree (preferred)

High School Diploma or GED (required)

Professional certification (preferred)

Job description

Sedgwick seeks a remote Workers' Compensation Claims Examiner to analyze and adjudicate complex claims for clients nationwide. You will determine benefits due, maintain service standards, and support a fast-paced, client-focused culture.

The role offers flexibility, agile collaboration, and opportunities for professional growth within a globally recognized leader in risk and claims management.