Remote Workers' Comp Claims Examiner

Sedgwick; Montpelier (VT); Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

Flexible work schedule

Referral incentive program

Job summary

Sedgwick is seeking a claims professional to analyze Lost-Time Workers' Compensation claims for clients, determining benefits and adjudicating within service expectations. NY licensing is required, with opportunities for growth in a global network.

The role offers hybrid work if near Syracuse, NY and remote work otherwise, with a focus on accuracy, timely communication, and client service excellence. Sedgwick emphasizes care and development across teams.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• 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.

Skills

Claims management

Negotiation

Communication

Education

High School Diploma

Bachelor's degree

Job description

Sedgwick is seeking a claims professional to analyze Lost-Time Workers' Compensation claims for clients, determining benefits and adjudicating within service expectations. NY licensing is required, with opportunities for growth in a global network.

The role offers hybrid work if near Syracuse, NY and remote work otherwise, with a focus on accuracy, timely communication, and client service excellence. Sedgwick emphasizes care and development across teams.