Remote Workers' Comp Claims Examiner

Sedgwick; Salt Lake City (UT); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Medical, dental, vision

401K with company match

Paid time off

Disability and life insurance

Employee assistance

Job summary

Sedgwick is hiring for a Workers' Compensation Claims Examiner in a remote role. CA or NV license is required to qualify for this position, located across the United States.

The role focuses on analyzing claims to determine benefits due and ensuring adjudication aligns with client requirements and industry best practices. You will negotiate settlements, communicate with claimants and clients, and collaborate with Sedgwick’s global network to deliver timely resolutions.

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.

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.

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is hiring for a Workers' Compensation Claims Examiner in a remote role. CA or NV license is required to qualify for this position, located across the United States.

The role focuses on analyzing claims to determine benefits due and ensuring adjudication aligns with client requirements and industry best practices. You will negotiate settlements, communicate with claimants and clients, and collaborate with Sedgwick’s global network to deliver timely resolutions.