Remote Workers' Comp Claims Examiner

Sedgwick; Salt Lake City (UT); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Referral incentive program

Career development and promotional成长

Medical, dental, vision benefits

401K on day one

PTO and life insurance

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze and adjudicate claims. The role involves determining benefits due, maintaining timely adjudication, and supporting client service requirements in a dynamic, global environment.

You will work within Sedgwick's caring culture, leveraging a broad network of experts to resolve complex claims, while enjoying a flexible schedule and opportunities for professional growth and development.

Qualifications

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

Analytical thinking

Negotiation

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Tools

Nevada License

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze and adjudicate claims. The role involves determining benefits due, maintaining timely adjudication, and supporting client service requirements in a dynamic, global environment.

You will work within Sedgwick's caring culture, leveraging a broad network of experts to resolve complex claims, while enjoying a flexible schedule and opportunities for professional growth and development.