Remote Workers' Comp Claims Examiner

Sedgwick Claims Management Services Ltd; Phoenix (AZ); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional"

Medical benefits

Dental benefits

Vision benefits

401K on day one

Job summary

Sedgwick is seeking a skilled Claims Examiner to adjudicate workers’ compensation claims for major clients. Must be licensed in California or Nevada and capable of handling complex investigations with a focus on timely, accurate outcomes.

The role offers flexible scheduling and a comprehensive benefits package, including 401(k) matching, health benefits, and opportunities for career development across a global organization. Remote work options are available where permissible.

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 / Jurisdiction Knowledge: Must be licensed in California or Nevada

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

Analytical thinking

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

California or Nevada licensing

Job description

Sedgwick is seeking a skilled Claims Examiner to adjudicate workers’ compensation claims for major clients. Must be licensed in California or Nevada and capable of handling complex investigations with a focus on timely, accurate outcomes.

The role offers flexible scheduling and a comprehensive benefits package, including 401(k) matching, health benefits, and opportunities for career development across a global organization. Remote work options are available where permissible.