Remote Workers' Comp Claims Examiner

Sedgwick; Honolulu (HI); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401k on day one

PTO on day one

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims for clients and determine benefits due, ensuring timely adjudication and adherence to client requirements.

The role supports a hybrid work model with office and remote days, and requires jurisdiction knowledge in MD and NJ. Sedgwick offers a comprehensive benefits package and career growth opportunities.

Qualifications

• Education & Licensing: 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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing: Home state preferred
• Jurisdiction Knowledge: MD and NJ

Responsibilities

• Analyze workers' compensation claims to determine exposure and appropriate resolution.
• Negotiating settlement of claims within designated authority.
• Communicate claim activity with the claimant and client.

Skills

Claims management

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree from an accredited college or university

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims for clients and determine benefits due, ensuring timely adjudication and adherence to client requirements.

The role supports a hybrid work model with office and remote days, and requires jurisdiction knowledge in MD and NJ. Sedgwick offers a comprehensive benefits package and career growth opportunities.