Remote Workers' Comp Claims Examiner

Sedgwick; Helena (MT); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

401K on day one

Medical, dental, vision

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation who can analyze complex claims and adjudicate benefits in a remote-capable, flexible environment. The role supports clients with timely determinations, accurate documentation, and adherence to service standards.

Ideal candidates will have 5+ years in claims management, relevant education or certifications, and licensing knowledge (OR preferred).

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Licensing knowledge: OR (preferred).
• Excellent analytical and communication skills.

Responsibilities

• Analyze and process workers' compensation claims to determine exposure and resolution.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and client.
• Report claims to the excess carrier and respond to directions promptly.

Skills

Workers' comp claims

Claims negotiation

Client communication

Education

High school diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation who can analyze complex claims and adjudicate benefits in a remote-capable, flexible environment. The role supports clients with timely determinations, accurate documentation, and adherence to service standards.

Ideal candidates will have 5+ years in claims management, relevant education or certifications, and licensing knowledge (OR preferred).