Remote Workers' Comp Claims Examiner

Sedgwick; Honolulu (HI); Remote; USD 65,000 - 81,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims for our valued clients, determine benefits due, and adjudicate claims in line with client service requirements and industry best practices. Remote role with jurisdiction coverage across Southeast states; licensure in FL or home state required and a strong background in claims management is preferred.

Sedgwick offers flexible schedules, comprehensive benefits, career development, and a supportive, equal-opportunity

Qualifications

• 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.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims for our valued clients, determine benefits due, and adjudicate claims in line with client service requirements and industry best practices. Remote role with jurisdiction coverage across Southeast states; licensure in FL or home state required and a strong background in claims management is preferred.

Sedgwick offers flexible schedules, comprehensive benefits, career development, and a supportive, equal-opportunity