Remote Workers' Comp Claims Examiner

Sedgwick; Providence (RI); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional增长

Job summary

Sedgwick is hiring a Claims Examiner - Workers Compensation with a CA license; hybrid work arrangement in California. You will analyze, adjudicate, and settle workers’ comp claims for diverse clients, ensuring timely resolutions and compliance with client service requirements.

The ideal candidate brings claims management experience, strong negotiation, and effective communication with claimants and clients. Sedgwick emphasizes growth, benefits, and a supportive work culture.

Qualifications

• Education: 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

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is hiring a Claims Examiner - Workers Compensation with a CA license; hybrid work arrangement in California. You will analyze, adjudicate, and settle workers’ comp claims for diverse clients, ensuring timely resolutions and compliance with client service requirements.

The ideal candidate brings claims management experience, strong negotiation, and effective communication with claimants and clients. Sedgwick emphasizes growth, benefits, and a supportive work culture.