Remote Workers' Comp Claims Examiner

Sedgwick; Jackson (MS); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career growth opportunities

Comprehensive benefits package

Job summary

Sedgwick is hiring a Claims Examiner for Workers' Compensation to adjudicate complex claims with a focus on timely resolutions, under established client service standards. You will work remotely across Southeast jurisdictions, leveraging strong analytical and negotiation skills.

Ideal candidates bring 5 years of claims experience, a home-state license, and a bachelor’s degree or higher. Sedgwick offers comprehensive benefits and career growth in a flexible, remote work environment.

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.

Responsibilities

• Analyzing and processing claims through action plans to resolution by investigating and gathering information to determine exposure.
• 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 directions in a professional and timely manner.

Skills

WC claims knowledge

Negotiation

Communication

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification relevant to line of business

Job description

Sedgwick is hiring a Claims Examiner for Workers' Compensation to adjudicate complex claims with a focus on timely resolutions, under established client service standards. You will work remotely across Southeast jurisdictions, leveraging strong analytical and negotiation skills.

Ideal candidates bring 5 years of claims experience, a home-state license, and a bachelor’s degree or higher. Sedgwick offers comprehensive benefits and career growth in a flexible, remote work environment.