Remote Workers' Comp Claims Examiner

Sedgwick; Maine; Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Benefits on day one (medical, dental,

401K)

Job summary

Sedgwick is seeking a dedicated Senior Claims Examiner to analyze Lost-Time Workers Compensation claims for our valued clients. You will determine benefits due and adjudicate claims within service expectations, using industry best practices and client requirements.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED (Bachelor’s preferred), and relevant licensing. The role offers flexibility in work location and a comprehensive benefits package.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Professional certification as applicable to line of business preferred.
• Licensing in MA, CT, NH, RI, VT is outlined in jurisdiction notes.

Responsibilities

• Analyze Lost-Time Workers Compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carriers and respond to directions promptly.

Skills

Claims management

Analytical thinking

Negotiation

Communication skills

Education

High School Diploma or GED

Bachelor's degree

Professional certification applicable to line of business

Job description

Sedgwick is seeking a dedicated Senior Claims Examiner to analyze Lost-Time Workers Compensation claims for our valued clients. You will determine benefits due and adjudicate claims within service expectations, using industry best practices and client requirements.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED (Bachelor’s preferred), and relevant licensing. The role offers flexibility in work location and a comprehensive benefits package.